CT-scan phase with oral contrast (without IV contrast) shows a voluminous subtraction image at the region of the fundus, compatible with an intra-luminal mass. This mass is hypodense and heteregeneous. Moreover, there is a triangular hypodensity involving the upper pole of the spleen.
Portal phase CT-scan shows faint enhancement of the mass previously describe. There is perigastric fat infiltration near the mass which extends to the pancreatic tail. There is splenic artery thrombosis secondary to this infiltration of the mass, which explains the triangular splenic hypodensity.
- CT (non-contrast):
- CT (C+ portal venous phase):