Traditional serrated adenoma displays a protuberant growth pattern and is detected more frequently in the left-sided colon, and 29–46% of traditional serrated adenomas harbor KRAS mutation ...

My brother and I observed that Ralph was actually Ralphette (the protuberant nipples gave it away). In my experience with pigs, protuberant nipples are not always a dead cert for being female.

At any rate, you see symptoms like persistent diarrhea, weight loss or failure to gain weight, a large protuberant abdomen, and a lack of appetite (no, being a picky eater does not count). Because ...