His liver showed multiple secondaries .
Clinically he had uncontrolled systemic hypertension and mildly elevated s. creatinine of 1.7 mgms/dl.
The diagnosis offered was multiple liver secondaries with incidental finding of shrunk right kidney with probable reduced function.
DISCUSSION : Generally the target sign or the bird’s eye view of the Mexican hat sign could signify colo-rectal carcinoma.
Further investigations revealed normal upper G.I. Endoscopy .
Colonoscopy revealed Carcinoma of Rectum with no obstruction.
He has been advised chemo-radio therapy by the surgeon.