CT
- Diffuse gastric mural thickening with faint homogeneous post-contrast enhancement.
- The liver is enlarged (24 cm in MCL), showing smooth outline and homogeneous parenchymal texture with no focal lesion.
- Bulky spleen with no sizable focal lesions.
- Multiple para-aortic pathological lymph nodes, the largest measuring about 1.2 x 1.3 cm at the inferior mesenteric artery takeoff. Lymph nodes also noted in the perigastric, common and internal iliac groups.
- Moderate pelvic and peri-hepatic and rim of peri-splenic free fluid.
- Bilateral heterogeneous ovarian masses showing variable degree of enhancement, they are seen displacing the intimately related bowel loops.