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Insights into Imaging
Fig. 12 | Insights into Imaging

Fig. 12

From: Imaging of intestinal vasculitis focusing on MR and CT enterography: a two-way street between radiologic findings and clinical data

Fig. 12

Terminal ileitis in a 23-year-old female with a history of recurrent oral and genital aphthous ulcers and uveitis presenting with RLQ pain finally diagnosed as Behçet’s disease. MRE was obtained. Coronal and axial T2-W images (A, B) show mural thickening in the terminal ileum (thick white arrows) without significant predilection to the mesenteric side in contrast to Crohn’s disease. There is also a deep penetrating ulcer (thin white arrow). Axial post-contrast T1-W image (C) displays increased contrast enhancement in the thickened terminal ileal segment (white arrowheads) without surrounding mesenteric inflammatory changes. Axial DWI image and corresponding ADC map obtained at b-value of 800 s/mm2 (D, E) show restricted diffusion in the involved segment (white dotted oval). Histopathologic examination confirmed Behçet’s disease

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