Answer of January 2003

Clinical History:

M/83. Progressive dysphagia.

                                    Figure 1

                                    Figure 2

Diagnosis:

Adenocarcinoma of stomach with linitis plastica

Discussion:

Figure 1: Barium meal shows irregular narrowing of gastroesophageal junction with holding up of barium.

Figure 2: PBarium meal shows non-pliable stomach despite distension of proximal small bowels with air.