Metastatic gastric cancer

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and dyspepsia.

Patient Data

Age: 70 years
Gender: Male
ct
This study is a stack
Axial With
oral contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Increased wall thickness because of tumoral infiltration is present at gastric cardia and sub cardia accompanied by a few regional lymphadenopathies with SAD less than 28 mm. Lymphadenopathy with SAD of 26 mm is also noted at upper paracaval regions. 

A few small calcified foci are seen at the right liver lobe parenchyma most consistent with healed granuloma. There are also multiple ill defined hetero enhancing masses at liver less than 80 mm. 

Several non-enhanced simple cortical cysts are seen in both kidneys. 

The prostate gland is enlarged.

Degenerative changes as osteophytosis are seen at the thoracolumbar spine.
Grade I spondylolisthesis of L5 on S1 is present with bilateral spondylolysis.

Case Discussion

Gastric mass, pathology proven adenocarcinoma, with regional and paracaval lymphadenopathies and hepatic metastases.

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