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Constipation and Postprandial Pain in a Patient With Shortness of Breath

Incidental image findings may be important for resolving seemingly unrelated symptoms at presentation.

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A 62-year-old male veteran with a history of pulmonary embolism (PE) and prostate cancer status after brachytherapy presented to the emergency department with new onset shortness of breath and left-sided chest pain after prolonged car travel. He underwent a chest computed tomography (CT) angiogram that showed no PE recurrence; however, the scan revealed an incidental transverse colon mass that appeared well circumscribed, homogeneous, and radiolucent with no enhancement, septations, or hypervascularity but no evidence of colonic distension or obstruction (Figure 1).

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