- The gastric wall is irregularly thickened (reaching 20-22 mm) and enhancing, involving both curvatures, the fundus and a part of the cardia. Hiatal hernia can be also seen.
- Diffuse low density intraperitoneal free fluid.
- Numerous grossly enlarged (15-30 mm short axis diameter) pathological lymph nodes mainly in the para-aortic region and around the lesser curvature and cardia of the stomach, and to a lesser extent in the mesenteric fat.
- Several vividly-enhancing circumscribed rounded lesions in the peritoneum anteriorly, the largest of which measured 40 mm.
- Other: subtle low density area in the 4B segment of the liver - possible focal deposition. Prior cholecystectomy, hysterectomy and adnexectomy, small kidney cysts.
Altogether findings are consistent with an extensive gastric malignancy with disseminated lymphadenomegaly, peritoneal metastases, and resultant ascites.