Diagnosis: Linitis plastica

Findings: On barium swallow with stomach demonstrated inadequate distension of the stomach with increased rigidity associated with a narrow lumen. The normal mucosal gastric fold pattern is no longer seen and in this case, completely absent.

Key Points: Linitis plastica is a condition referring to the appearance of the stomach resembling an “old leather bottle.” There is typically diffuse submucosal infiltration by an adenocarcinoma with thickening and loss of distensibility of the stomach. The mucosal gastric fold pattern is can be absent, thickened, or distorted.

Credit: Case submitted by Dr. Saeed Rad MD to radRounds Radiology Network