History A 58-year-old male with a three-month history of ill-defined lower abdominal pain and a 10 pound weight loss. Exam There is minimal diffuse abdominal tenderness to deep palpation without palpable masses, rebound tenderness, or guarding. The physical examination is otherwise noncontributory. The complete blood count is remarkable for a hematocrit of 33.
Radiograph and CT Images are attached. What is the primary impression from the images? * This case is from Docplexus Editorial Team for educative purpose only