Linitis plastica other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]

Overview

Chest x-ray, CT and MRI of chest, abdomen and pelvis may be performed to detect the local invasion and metastasis of linitis plastica to breast, lungs and liver.

Other Imaging Findings

• Chest x-ray, CT and MRI of chest, abdomen and pelvis may be performed to detect the local invasion and metastasis of linitis plastica to breast, lungs and liver.
• CT and MRI testing may be used in staging of the cancer.
• Upper GI series may rarely be necessary, when there is a limitation for advancing the endoscope past a mechanical obstruction (for example, a concomitant tumor/stricture at the gastroesophageal junction). Linitis plastica usually does not present as a mass but, as a diffuse thickening of the stomach wall.
  • Due to the increased rigidity of the wall, the stomach cannot be adequately distended, with only a narrow lumen identified. The normal mucosal fold pattern is absent, either distorted, thickened or nodular.

• 

  Diffuse thickening of the distal gastric wall with failure to distend despite adequate ingestion of barium.

References

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