The case presented is that of a 73-year-old woman, who was referred to our general surgery unit with a history of dysphagia. Initial barium swallow study demonstrated a filling defect of the stomach suggestive of extrinsic compression. Computed tomography (CT) scan of the abdomen demonstrated a large (71 × 68 × 68 mm), transmural gastric mass involving the greater curvature and mid body of the stomach, with central dystrophic calcification (Fig. 1). The CT scan was a non-contrast enhanced study due to the patient’s allergy history. The lesion appeared to abut the splenic flexure although the surrounding colon, spleen, pancreas and kidney appeared normal.