Spiculation of antral margin in erosive gastritis

Because of the low yield, conventional barium studies had been considered an unreliable methods of detecting erosions of the stomach. With the advent of the double contrast examination, the literature is now replete with examples of erosive demonstrated by this technique. As in endoscopy, the erosions are visualized "en face" only. No case, however, has been recorded in which the diagnosis was made on a profile view of the erosions. We present such a case of erosive gastritis with two unusual features in which 1) the diagnosis was made on a conventional single contrast study and 2) the lesions were identified in profile.