This 50-year-old female presented with a lump in the epigastric region with vomiting (No mention of the number of episodes). She underwent an ultrasound as a part of her investigations. The USG film is attached.

What is your interpretation for the adjoining USG and what would be the treatment approach that you recommend for this patient? *This image based case is from Docplexus Editorial Team for educative purpose only. Source: Raediopedia.