PMC5906758_01
CT abdomen showing asymmetric gastric mucosal thickening.
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During admission, imaging showed prostatic hyperplasia, midline retroperitoneal adenopathy, multifocal hypodense hepatic lesions, periportal adenopathy, and gastric wall thickening on abdominal and pelvic CT scan (Figure 1).
Pathology H&E stains of core biopsy. Spindle cells are seen.
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Diagnostic laparoscopy with triplicate core biopsies returned positive for GIST with spindle cell type differentiation (Figure 2).
CT chest showing bilateral pleural effusions and moderate pericardial effusion with dilated cardiomyopathy.
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Due to concern for pulmonary embolus, chest CT scan showed pericardial effusion and bilateral pleural effusions, worse on the left lung base (Figure 3).