Case submitted by Giuseppe Pelle M.D., via

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 Mass is seen along the medial border of the stomach wall extending towards the liver. Disrupted ruggae are partially visualized. No ulceration is identified clearly on this image but given anemia, it is possible CT may not visualize.

 On CT, look for polypoid mass with or without ulceration. Focal wall thickening can also be seen. Infiltration and mucosal irregularity may be possible. Loss of normal rugal fold pattern is also another sign seen on imaging. Accurate staging would enable surgical and/or medical treatment decisions to maximize positive clinical outcomes.

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In this patient with progressive anemia, what is your diagnosis on this CT?

Image IQ Quiz: Patient Presents with Progressive Anemia