It is unusual to find systemic failure in the absence of liver metastases,[1] although the portosystemic shunting that exists at the anorectal junction does permit hematogenous spread outside the portal circulation to the internal iliac vessels and the cava.
A flexible-fuel vehicle (FFV) or dual-fuel vehicle (colloquially called a flex-fuel vehicle) is an alternative fuel vehicle with an internal combustion engine designed to run on more than one fuel, usually gasoline blended with either ethanol or methanol fuel, and both fuels are stored in the same common tank.
Q5 SUV models are available with a 0-liter flex-fuel (FFV) engine or a 0-liter gas engine, with output up to 272 hp, depending on engine type. The 2017 Q5 SUV comes with all wheel drive. Available transmissions include: 8-speed shiftable automatic.