CT show fluid-distended stomach with gross thinning of the gastric wall mainly involving the greater curvature of the stomach with intramural gas within representing gastric pneumatosis. Minimal surrounding air pockets and mesenteric streakiness are also seen. The normal enhancement of the gastric mucosa at this region is also not demonstrable. Few foci of free air at this region, suggesting evidence of perforation.
Concomittant non-enhancement of the entire spleen is not enhanced with non-opacification of the distal segment of the splenic artery, suggestive of thrombosis.
Incidental finding of innumerable tiny cortical renal cysts bilaterally.