April 2016

Abnormal stomach wall

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Clinical information

Cachexia and a mass in the neck and in the abdomen.

Ultrasound Images & Clips

Abnormal stomach wall

The stomach wall is massively thickened

Detail of the stomach wall. The layers of the stomach wall can't be differentiated

The thick wall is vascularized

The retroperitoneal and mesenteric lymph nodes are also enlarged

Another image of the retroperitoneal and mesenteric lymph nodes

The mass in the neck is located next to the thyroid gland that is normal

Detail of the mass

Transverse image of the mass that shows vascularity

Longitudinal image of the mass in the neck

CT of the abdomen

Coronal CT of the abdomen

CT of the neck

Coronal CT of the neck

This is an image of the stomach of a 70 year old male

There is a diffuse thickening of the stomach wall. The differentiation of the layers of the wall is gone. There is some ascites

The stomach at another level

CT of the abdomen

Coronal CT of the abdomen

Conclusion

Both patients had stomach malignancies. The first patient had a Mantel cell lymphoma with lymphomatous masses not only in the stomach, but also of the abdominal lymph nodes and in the neck. The second patient had a diffuse stomach carcinoma also called linitis plastica

Details

Sex: Female
Age: 80

Created with

Fujifilm Ultrasound System

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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