Solution: The UGI in this case identifies numerous radiolucent filling defects lining the mucosa of the stomach. Note that several of them have a dot of contrast at the apex. In contrast to an ulcer pit with a dot of contrast, this actually represents a dot of contrast hanging from the polyps. Gastric polyps generally fall into two categories, hyperplastic (< 1 cm and often multiple), and adenomatous (usually solitary and larger). There are also hamartomatous polyps, but these are less common. The large majority of these are benign and some would even say that no further workup is necessary if they are less than 1 cm and typical in appearance. Most would recommend endoscopy for biopsy and confirmation. Can be associated with atrophic gastritis, pernicous anemia and cancer. Also can be associated with polyposis syndromes.