{"kind":1,"created_at":1727774696,"content":"Run Alby on your sovereign af server!\n\nOrder your own start 9 now with the coupon code LOVEISBITCOIN for a discount \n\n🚀 Announcing the offical release of Alby Hub @getAlby for StartOS!\n\nAlby Hub offers incredible ease of use for lightning.\n\nOn StartOS, Alby Hub seamlessly integrates with your existing @lightning node for maximum sovereignty.","pubkey":"b3b1d5809306c642b7c7e9f01cf9a73a9dc8b363463776361d25dc0927db0aa8","id":"23b8392e6bf14fa9df11f449abff4cc0289d9ecf1742cf0178ff44009fa4df48","tags":[],"sig":"5ca9e6cf5689a153ee0ec69ae7db56b8edc685691d47dd1dad7c4cdba15f470935f3096d47f9fc05630e4ee23b7ee163cd068501f3bf4f84b8896dc7905316ab"}

{"kind":1,"created_at":1727774696,"content":"Run Alby on your sovereign af server!\n\nOrder your own start 9 now with the coupon code LOVEISBITCOIN for a discount \n\n🚀 Announcing the offical release of Alby Hub @getAlby for StartOS!\n\nAlby Hub offers incredible ease of use for lightning.\n\nOn StartOS, Alby Hub seamlessly integrates with your existing @lightning node for maximum sovereignty.","pubkey":"b3b1d5809306c642b7c7e9f01cf9a73a9dc8b363463776361d25dc0927db0aa8","id":"23b8392e6bf14fa9df11f449abff4cc0289d9ecf1742cf0178ff44009fa4df48","tags":[],"sig":"5ca9e6cf5689a153ee0ec69ae7db56b8edc685691d47dd1dad7c4cdba15f470935f3096d47f9fc05630e4ee23b7ee163cd068501f3bf4f84b8896dc7905316ab"}

{"kind":1,"created_at":1727774696,"content":"Run Alby on your sovereign af server!\n\nOrder your own start 9 now with the coupon code LOVEISBITCOIN for a discount \n\n🚀 Announcing the offical release of Alby Hub @getAlby for StartOS!\n\nAlby Hub offers incredible ease of use for lightning.\n\nOn StartOS, Alby Hub seamlessly integrates with your existing @lightning node for maximum sovereignty.","pubkey":"b3b1d5809306c642b7c7e9f01cf9a73a9dc8b363463776361d25dc0927db0aa8","id":"23b8392e6bf14fa9df11f449abff4cc0289d9ecf1742cf0178ff44009fa4df48","tags":[],"sig":"5ca9e6cf5689a153ee0ec69ae7db56b8edc685691d47dd1dad7c4cdba15f470935f3096d47f9fc05630e4ee23b7ee163cd068501f3bf4f84b8896dc7905316ab"}

{"kind":1,"created_at":1727774696,"content":"Run Alby on your sovereign af server!\n\nOrder your own start 9 now with the coupon code LOVEISBITCOIN for a discount \n\n🚀 Announcing the offical release of Alby Hub @getAlby for StartOS!\n\nAlby Hub offers incredible ease of use for lightning.\n\nOn StartOS, Alby Hub seamlessly integrates with your existing @lightning node for maximum sovereignty.","pubkey":"b3b1d5809306c642b7c7e9f01cf9a73a9dc8b363463776361d25dc0927db0aa8","id":"23b8392e6bf14fa9df11f449abff4cc0289d9ecf1742cf0178ff44009fa4df48","tags":[],"sig":"5ca9e6cf5689a153ee0ec69ae7db56b8edc685691d47dd1dad7c4cdba15f470935f3096d47f9fc05630e4ee23b7ee163cd068501f3bf4f84b8896dc7905316ab"}

{"kind":1,"created_at":1727774696,"content":"Run Alby on your sovereign af server!\n\nOrder your own start 9 now with the coupon code LOVEISBITCOIN for a discount \n\n🚀 Announcing the offical release of Alby Hub @getAlby for StartOS!\n\nAlby Hub offers incredible ease of use for lightning.\n\nOn StartOS, Alby Hub seamlessly integrates with your existing @lightning node for maximum sovereignty.","pubkey":"b3b1d5809306c642b7c7e9f01cf9a73a9dc8b363463776361d25dc0927db0aa8","id":"23b8392e6bf14fa9df11f449abff4cc0289d9ecf1742cf0178ff44009fa4df48","tags":[],"sig":"5ca9e6cf5689a153ee0ec69ae7db56b8edc685691d47dd1dad7c4cdba15f470935f3096d47f9fc05630e4ee23b7ee163cd068501f3bf4f84b8896dc7905316ab"}

{"kind":1,"created_at":1727774696,"content":"Run Alby on your sovereign af server!\n\nOrder your own start 9 now with the coupon code LOVEISBITCOIN for a discount \n\n🚀 Announcing the offical release of Alby Hub @getAlby for StartOS!\n\nAlby Hub offers incredible ease of use for lightning.\n\nOn StartOS, Alby Hub seamlessly integrates with your existing @lightning node for maximum sovereignty.","pubkey":"b3b1d5809306c642b7c7e9f01cf9a73a9dc8b363463776361d25dc0927db0aa8","id":"23b8392e6bf14fa9df11f449abff4cc0289d9ecf1742cf0178ff44009fa4df48","tags":[],"sig":"5ca9e6cf5689a153ee0ec69ae7db56b8edc685691d47dd1dad7c4cdba15f470935f3096d47f9fc05630e4ee23b7ee163cd068501f3bf4f84b8896dc7905316ab"}

{"kind":1,"created_at":1727774696,"content":"Run Alby on your sovereign af server!\n\nOrder your own start 9 now with the coupon code LOVEISBITCOIN for a discount \n\n🚀 Announcing the offical release of Alby Hub @getAlby for StartOS!\n\nAlby Hub offers incredible ease of use for lightning.\n\nOn StartOS, Alby Hub seamlessly integrates with your existing @lightning node for maximum sovereignty.","pubkey":"b3b1d5809306c642b7c7e9f01cf9a73a9dc8b363463776361d25dc0927db0aa8","id":"23b8392e6bf14fa9df11f449abff4cc0289d9ecf1742cf0178ff44009fa4df48","tags":[],"sig":"5ca9e6cf5689a153ee0ec69ae7db56b8edc685691d47dd1dad7c4cdba15f470935f3096d47f9fc05630e4ee23b7ee163cd068501f3bf4f84b8896dc7905316ab"}

{"kind":1,"created_at":1727774696,"content":"Run Alby on your sovereign af server!\n\nOrder your own start 9 now with the coupon code LOVEISBITCOIN for a discount \n\n🚀 Announcing the offical release of Alby Hub @getAlby for StartOS!\n\nAlby Hub offers incredible ease of use for lightning.\n\nOn StartOS, Alby Hub seamlessly integrates with your existing @lightning node for maximum sovereignty.","pubkey":"b3b1d5809306c642b7c7e9f01cf9a73a9dc8b363463776361d25dc0927db0aa8","id":"23b8392e6bf14fa9df11f449abff4cc0289d9ecf1742cf0178ff44009fa4df48","tags":[],"sig":"5ca9e6cf5689a153ee0ec69ae7db56b8edc685691d47dd1dad7c4cdba15f470935f3096d47f9fc05630e4ee23b7ee163cd068501f3bf4f84b8896dc7905316ab"}

Good observations. Dx: (spoiler alert) Metastatic neuroendocrine neoplasm of the rectum.

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🤙

Do not appear to enhance, HU < 10? Cysts. If higher HU? Metastatic Cancer (colon?) Looks too black around the kidney and portion of descending colon. Same with a small area anterior to the liver. Probably nothing? My last CME I did snake bites. Have a good day Dr Jeff.

Do not appear to enhance, HU < 10? Cysts. If higher HU? Metastatic Cancer (colon?) Looks too black around the kidney and portion of descending colon. Same with a small area anterior to the liver. Probably nothing? My last CME I did snake bites. Have a good day Dr Jeff.

Do not appear to enhance, HU < 10? Cysts. If higher HU? Metastatic Cancer (colon?) Looks too black around the kidney and portion of descending colon. Same with a small area anterior to the liver. Probably nothing? My last CME I did snake bites. Have a good day Dr Jeff.

Do not appear to enhance, HU < 10? Cysts. If higher HU? Metastatic Cancer (colon?) Looks too black around the kidney and portion of descending colon. Same with a small area anterior to the liver. Probably nothing? My last CME I did snake bites. Have a good day Dr Jeff.

Do not appear to enhance, HU < 10? Cysts. If higher HU? Metastatic Cancer (colon?) Looks too black around the kidney and portion of descending colon. Same with a small area anterior to the liver. Probably nothing? My last CME I did snake bites. Have a good day Dr Jeff.

Do not appear to enhance, HU < 10? Cysts. If higher HU? Metastatic Cancer (colon?) Looks too black around the kidney and portion of descending colon. Same with a small area anterior to the liver. Probably nothing? My last CME I did snake bites. Have a good day Dr Jeff.

Do not appear to enhance, HU < 10? Cysts. If higher HU? Metastatic Cancer (colon?) Looks too black around the kidney and portion of descending colon. Same with a small area anterior to the liver. Probably nothing? My last CME I did snake bites. Have a good day Dr Jeff.

Do not appear to enhance, HU < 10? Cysts. If higher HU? Metastatic Cancer (colon?) Looks too black around the kidney and portion of descending colon. Same with a small area anterior to the liver. Probably nothing? My last CME I did snake bites. Have a good day Dr Jeff.

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