The spleen in this patient presented three separate expansive masses. The masses measured 1.0, 2.0 and 4.07 cm each. These masses were parenchymal enlargements and likely metastatic in nature given the patient’s history. There was no evidence of rupture noted.The liver presented multiple, hyperechoic nodules with some disruption of architecture measuring 1.4 cm and 1.5 cm in the deep left liver with other heterogenous changes. The internal iliac (hypogastric) lymphnode deviates the descending colon.