Imaging metastatic gastric carcinoma with CT and PET/CT

Image A is an axial CT image through the upper abdomen and shows gastric wall thickening (arrow) and a group of large lymph nodes in the gastrohepatic ligament (arrowhead). Image B is a PET/CT and shows a hypermetabolic mass in the stomach (arrow) and metastatic lymph nodes in the gastrohepatic ligament. Image C is an axial CT image through the thoracic inlet and shows a large lymph node in the supraclavicular region (arrow). Image D is a PET/CT and shows hypermetabolic activity in the supraclavicular node indicating metastatic disease.