HighlightsGastric cancer has a high rate of recurrence post curative surgical resection.Metastatic gastric cancer typically involves visceral or peritoneal surfaces but bone marrow involvement can occur.Elevated alkaline phosphatase and pancytopenia post curative resection should raise suspicion for recurrent disease.

HighlightsWhole body PET scan is commonly used to assess treatment response, particularly chemotherapy and for disease surveillance.Various factors such as tumor size and location, histological subtype, and physiological FDG uptake by normal gastric wall influence the utility of FDG-PET in the staging workup of gastric cancer.The significant cost of PET scan requires that its role in the preoperative evaluation of gastric cancer be reconsidered.

Coccidioidomycosis is caused by a dimorphic fungus species endemic to the arid and semi-arid regions of the Americas. The species have a terranean habitat producing a primary pulmonary infection by inhalation of arthroconidia. We describe a case of extrapulmonary coccidioidomycosis presenting with extensive lymphadenopathy, splenomegaly, and florid cutaneous lesions. This case is intended to heighten clinical suspicion in patients with risk factors.