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A case of dyspepsia and abdominal fullness
  1. James D Thomas1,
  2. Tanya M Monaghan2,
  3. Jonathan James3
  1. 1Department of Radiology, Nottingham University Hospitals NHS Trust, Nottingham, UK
  2. 2Nottingham Digestive Diseases Centre, Biomedical Research Unit, Nottingham University Hospitals NHS Trust, Nottingham, UK
  3. 3Nottingham Breast Institute, Nottingham University Hospitals NHS Trust, Nottingham, UK
  1. Correspondence to Dr James D Thomas, Department of Radiology, B Floor, Queen's Medical Centre, Nottingham NG7 2UH, UK; drjthomas{at}

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Clinical presentation

A 59-year-old woman presented with a 5-month history of acid reflux symptoms which were initially relieved with a proton pump inhibitor. She complained of no weight loss, anorexia or abdominal pain but could feel a ‘fullness’ in her upper abdomen which prevented her from lying prone.

Examination revealed a hard epigastric mass which seemed separate from the liver and spleen. There was no lymphadenopathy or other positive findings.

Initial laboratory investigations showed a normal full blood count, urea and electrolytes, bilirubin and …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.