CT CHEST
Multiple small nodules in both lungs measuring upto 9mm.
No significant mediastinal lymphadenopathy.
CT ABDOMEN
4.7cm segment of circumferentially thickening rectosigmoid, the serosa of which if irregular suggesting extra-serosal extension.
Irregular soft tissue in the sigmoid mesentery.
Multiple mesorectal nodes.
Para-aortic lymphadenopathy, several with high attenuation within, upto 2.7cm
Several liver metastases the largest 3.5cm in segment 6.