83 yr M, with h/o Prostate CA (on hormonal Rx w/ undetectable PSA)
PMH significant for CLL on BM Bx 9 yrs back (no current treatment).
Now presents w/ fatigue, unexplained wt. loss & anorexia.
CT: extensive abd. LAD.
FDG PET/CT scan is shown.
Most likely consideration is:
A. Widespread metastatic prostate ca
B. Peritoneal carcinomatosis
C. Peritoneal TB
D. Richter’s Transformation
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