@nyame_gbe: Indication: Epigastric pain. Belching. Ultrasound Scan Findings: Stomach: The gastric walls are symmetrically thickened measuring approximately 14 mm and of hypoechoic echopattern. No vascularity noted on colour Doppler interrogation. Anechoic fluid collection noted in the anterior and posterior cul-de-sac, measuring approximately 227.68 mL. Mild perihepatic anechoic fluid collection noted with the deepest pocket measuring approximately 1.61 cm. IMPRESSION: SYMMETRICALLY THICKENED HYPOECHOIC GASTRIC WALLS WITH SEVERE PELVIC ASCITES AND MILD PERIHEPATIC ANECHOIC FLUID COLLECTION- Ddx: GASTRIC CARCINOMA ENDOSCOPIC ULTRASONOGRAPHY RECOMMENDED FOR FURTHER EVALUATION. #ultrasound #cancer #stomach #pain #gerd