CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSISEISENBERG

1. 8Gastric Ulceration

2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

3. • Fig GI 8-1 Fold patterns in gastric ulcers
(arrow). (A) Small, slender folds radiating to
the edge of a benign ulcer. (B) Thick folds
radiating to an irregular mound of tissue
surrounding a malignant gastric ulcer (arrow).

4. • Fig GI 8-2 Gastritis. Superficial gastric erosions
(arrow). Tiny flecks of barium, representing
erosions, are surrounded by radiolucent halos,
representing mounds of edematous mucosa.

5. • Fig GI 8-3 MALT lymphoma. Greater curvature
ulcer (arrow) surrounded by a soft-tissue mass
and associated with regional enlargement of
rugal folds.

6. • Fig GI 8-4 Carcinoma of the stomach. Carman's
meniscus sign in malignant gastric ulcer. The huge
ulcer has a semicircular configuration with its
inner margin convex toward the lumen. The ulcer
is surrounded by the radiolucent shadow of an
elevated ridge of neoplastic tissue (arrows).

7. • Fig GI 8-5 Gastric lymphoma. Huge, irregular
ulcer (arrows) in a neoplastic gastric mass.

8. Fig GI 8-6 Leiomyosarcoma of the stomach. The large fundal mass
(arrows) shows exophytic extension and ulceration.

9. • Fig GI 8-7 Gastric metastases from melanoma
(arrow).