{'fraction_non_alphanumeric': 0.023575638506876228, 'fraction_numerical': 0.003929273084479371, 'mean_word_length': 4.666666666666667, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
A full house of metastatic carcinoid disease

These are images of an elderly man presenting with back pain, weight loss and diarrhoea. Clinical examination revealed peripheral oedema, pan-systolic murmur and a non-tender mass in his left iliac fossa. Abdominal CT revealed a calcified mass in the left iliac fossa with a characteristic spoke wheel appearance of carcinoid tumour (see arrow in figure 1) and solid and cystic liver lesions, consistent with multiple metastases.



Figure 1 
Abdominal CT scan. …