female, 83 yrs old, excellent health except hiatal hernia until 8 wks ago.generalized weakness, nausea and some vomiting. Food tastes bad, esp milk. constipated. no response to suppositories, laxatives,etc for 9 days. Diagnosed with ear and bladder infection . no pain. ultrasound showed enlarged brestbone. CT scan shows a possible mass in cecum , but probable retained bowel movement . Continued loss of energy and nausea, odd taste, and no pain. Lymph nodes are marginal. Colonoscopy scheduled in 10 days. What are we missing?