Diffuse heterogeneous circumferential gastric mural thickening (over 2 cm thick), extending into the first and second parts of the duodenum. Nodular appearance of mucosa suggesting submucosal infiltration. A few hypodense lesions are noted in the gastric wall representing necrosis/cystic changes. There is an exophytic area noted on the left side side of the gastric body. Findings typical for linitis plastica.
Extension along the gastrohepatic ligament and also along the gastrocolic ligament associated with mild thickening of part of the transverse colon.
Extensive peritoneal involvement with thickening and enhancement. Involvement of the greater omentum and small bowel mesentery which enhances extensively. Loss of fat plane along the head and neck of pancreas. Free fluid noted around the liver, spleen and in the pelvis.
No focal lesions in the spleen/liver. No splenomegaly or significant adjacent or remote lymphadenopathy. Normal retroperitoneum. No evidence of skeletal or thoracic involvement (CT chest not shown), apart from bibasal pleural effusions.