“…Although CT is the imaging modality of choice for diagnosis of gastric emphysema, care must be taken to rule out pseudopneumatosis, as in this patient. EUS is a good confirmatory test for gastric emphysema, as intramural air produces intense bright echogenicity within the gastric wall [3,14]. However, as EUS technology is not widely available at all medical centers, coronal reconstructions of the CT scan should be sought and evaluated to rule out pseudopneumatosis, as this may help to make the distinction between a benign and a potentially serious clinical condition.…”