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Filling defect disrupting the gastric contour and folds with suggestion of outpouching of the ulcer crater with a relatively smooth border consistent with an ulcer. No significant irregularity of the border.

Features that suggest a benign ulcer is an outpouching of the ulcer crater beyond the gastric border, smooth borders, smooth ulcer mound, smooth folds reaching the margin of the ulcer, “Hampton’s line”, and location along the lesser gastric curvature. Features that suggest malignant gastric ulcer includes irregularity of the borders, nodularity of the ulcer mound, and more commonly seen along the greater curvature of the gastric border.

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What is the diagnosis in this patient with melena?

Image IQ Quiz: Patient Presents with Melena