Abstract
Using a 4th generation computed tomography (CT) scanner, the gastric wall was easily demonstrated. On review of CT images of the upper abdomen, thick gastric walls were observed in numerous patients without gastric pathology. Administration of dilute Gastrografin [meglucamine diatrizoate] expanded the gastric wall and resolved the problem. With large gastric rugae and with gastric ulcers, thick gastric walls are also observed, presenting a problem in CT interpretation. This approach proved helpful in resolving these cases.