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PURPOSE/AIM 1. Understand the imaging and histopathological characteristics of gastric mucosa associated lymphoid tissue lymphoma (MALToma). 2. Describe the imaging characteristics of systemic MALToma and unusual sites of recurrence. CONTENT ORGANIZATION MALT lymphoma (MALToma) is a B-cell transformation lymphoma occuring in mucosa associated lymphoid tissue. There are two histological types of MALToma; low grade which has a good survival rate and high grade which has poorer survival rate. MALTomas are typically localised diseases to the gut most commonly in the stomach. However, the MALToma can be found in sites distant from the gut. Extra-GI manifestations of MALToma may occur at the time of diagnosis or as the first site of recurrence post treatment. SUMMARY We will present a pictorial review of gastric MALToma on barium meal and correlate with upper GI endoscopy, histology and CT. We will describe a comprehensive pictorial review of gastric MALToma and the distant non-GI sites where MALToma can spread.