· 5.5x4cm sized well-defined exophytic lesion involving the antro-pyloric region of stomach showing heterogenous arterial enhancement persisting on delayed phases. There is associated mild enhancing wall thickening is noted involving the pyloric region. The lesion is seen abutting the inferior surface of left lobe of liver (segment III) without any obvious invasion. No significant peri-gastric lymphadenopathy seen.
· Liver is normal in size with no focal lesion and shows normal contrast enhancement.
· Gall bladder is distended with normal wall thickness.
· Pancreas appears normal and shows normal contrast enhancement. CBD appears normal.
· Spleen is normal in size. It shows normal contrast enhancement. Splenunculus is noted near upper pole.
· There is severe narrowing at the origin of celiac artery.
· Aorta, IVC, portal vein, SV, SMV and SMA appears normal.
· Both adrenals are normal.
· Both kidneys appear normal in size and shows prompt nephrogram and good excretion of contrast. Bilateral accessory renal arteries are noted. Both ureters appear normal in course and caliber.
· Urinary bladder appears partially distended. Foley’s bulb noted in situ.
· Prostate appears normal.
· Few subcentimetric pre/para-aortic, aorto caval lymphnodes are noted.
· No free fluid is noted in abdomen and pelvis.
· Visualised bowel loops appear normal. Ileoceacal junction appears normal.
· Visualised lung parenchyma appears normal.
· Bilateral mild pleural effusion is noted.
· Visualised bones show degenerative changes in the form of marginal osteophytes and end plate changes.
· Atherosclerotic changes are noted in visualised abdominal aorta in the form of wall calcification
Impression:
· Well-defined exophytic lesion involving the antro-pyloric region of stomach showing heterogenous arterial enhancement is of neoplastic etiology. Possibility of GIST is likely.
· Severe narrowing at the origin of celiac artery.