The patient is a 78 year-old male with

a past medical history of

hypertension and duodenal ulcer

presenting with 2 months of

increasing abdominal girth. The

patient reports 1 month of loose

bowel movements and a 2 week

history of early satiety. He notes that

in the last week he has been nauseous

at the smell and thought of food. He

denies fevers, chills, excessive alcohol

intake, history of blood transfusions,

intravenous drug use, melena or

bright red blood per rectum. The

patient states he has never undergone

a colonoscopy and to his knowledge

there is no family history of