Gastric mucinous adenocarcinoma
Epigastric pain with weight loss
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Diffuse circumferential thickening of the gastric wall extending from the cardia to the antrum, hypodense with no significant enhancement, containing multiple punctate calcifications with partial obliteration of the mucus layer. There is a perigastric fat infiltration with associated ascites (mixed gelatinous/fluid on ultrasound).
Note a small cortical nodule of the left kidney of fatty density (most likely angiomyolipoma)
Chest CT was unremarkable
Gastric mucinous adenocarcinoma is considered as a rare histological subtype of gastric cancer. The extensive thickening of the gastric wall and multiple punctate intratumoral calcifications are the main characteristic features of this tumor.
Additional contributor: A Ramdani MD, Aurès Medical Imaging Center, Batna, Algeria