Wk 4, Case 1 - Review

PATIENT HISTORY: Abdominal pain

CT abdomen pelvis with intravenous contrast.

INDICATION: Abdominal pain.

COMPARISON: None.

TECHNIQUE: CT images of the abdomen and pelvis were obtained after the administration of intravenous contrast.

FINDINGS:

Lung bases: No acute abnormalities are seen at the lung bases.

Hepatobiliary: No intraparenchymal liver masses are seen. Gallbladder is unremarkable. There is no biliary ductal dilatation.

Pancreas: Unremarkable.

Spleen: Unremarkable.

Adrenal glands: Unremarkable.

Kidneys: Unremarkable.

Bowel: There is a poorly defined mass centered in the gastric body and antrum measuring at least 6.5 cm in length compatible with a neoplasm. There is a 4.5 x 4.1 cm mass which appears external to the stomach; this presumably represents adenopathy though some of this may represent a portion of the primary neoplasm. There is a 3.0 cm masslike lesion adjacent to the left hepatic lobe which presumably represents an additional portion of this neoplasm. Soft tissue infiltration into portions of the gastrohepatic ligament and intersegmental fissure is also present, with nonspecific omental induration also noted.

Abdominal and pelvic lymph nodes: As described above.

Peritoneum: No ascites.

Vasculature: No abdominal aortic aneurysm.

Pelvis: No mass.

Musculoskeletal system and soft tissue: No aggressive osseous lesion.

IMPRESSION:

Gastric neoplasm as described.