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Chest Radiographic Diagnosis of Stomach Abnormality

M. Herbert Nathan1 and William M. Shannon1,2

1 North Phoenix Medical Specialists, 3023 E. Sierra Vista Dr., Phoenix, AZ 85016-8901.
2 John C. Lincoln Hospital, 9100 N. Second St., Phoenix, AZ 85020.



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  		Fig. 1A , —53-year-old woman who underwent radiography at routine physical examination. Radiograph shows air-outlined masslike density (arrows) in gastric cardia.

 


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  		Fig. 1B , —53-year-old woman who underwent radiography at routine physical examination. Radiograph obtained after patient drank 0.25 l of carbonated beverage shows gas distention of fasting stomach and normal gastric fundus. Note absence of mass seen in A, which is considered to have been caused by mucosal folds.

 


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  		Fig. 2A , —77-year-old woman taking medication for gastrointestinal symptoms underwent chest radiography as part of her examination. Initial chest radiograph reveals air-outlined nodular shadow (arrow) at junction of gastric fundus and pars media.

 


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  		Fig. 2B , —77-year-old woman taking medication for gastrointestinal symptoms underwent chest radiography as part of her examination. Gas distention of fasting stomach by 0.25 l of carbonated beverage causes disappearance of nodular shadow indicating that it was pseudotumor probably caused by food.

 


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  		Fig. 3A , —34-year-old woman complaining of sore throat. Chest radiograph reveals air-outlined 2.5-cm nodular shadow (arrows) in gastric cardia.

 


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  		Fig. 3B , —34-year-old woman complaining of sore throat. Second chest radiograph immediately after fasting patient ingested 0.25 l of carbonated beverage shows persistence of nodular shadow (arrows).

 


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  		Fig. 3C , —34-year-old woman complaining of sore throat. CT scan in early phase of contrast enhancement showing appearance typical of cavernous hemangioma (arrow) in left lobe of liver overlying gastric cardia with contrast medium in margin of lesion but absent centrally until 10 min later.

 

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