An 81-year-old woman with cerebrovascular disease presented in ED with a 1-week history of vomiting. Examination Bowel sounds were normal and there was no tenderness, rebound, or guarding. A chest radiograph showed a large air-liquid shadow in the inferior retrocardiac position (Images A & B). A CT scan also showed a large retrocardiac mass containing air and liquid (image C & D).
CT image also showed thickening of gastric wall and compression of the first portion of the duodenum, which caused gastric distention. What would be the likely diagnosis in this case? *This case is from Docplexus editorial team foe educative purpose only. Source: NEJM
