A 37-year old husband and father made several trips to the emergency room complaining of pain in his kidneys.  On each visit, a scan was done but the attending radiologists did not identify a present para-aortic mass. Due to increasing pain, the man went to another ER where the biopsy revealed the presence of Ewing’s sarcoma, a malignant round-cell tumor. He underwent aggressive chemotherapy and radiation but his condition persisted, developing into liver disease. His condition is worsening and will likely lead to death.