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Insights into Imaging
Fig. 15 | Insights into Imaging

Fig. 15

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

Fig. 15

Intestinal vasculitis in a 42-year-old female with a known history of SLE and hypothyroidism presenting with generalized abdominal pain, fever, anemia, and elevated inflammatory markers. She also complained of dysuria, hematuria, and frequency. MRE was obtained. Axial T2-W images (A, B) show bilateral hydroureteronephrosis (thin white arrows) and multi-focal segmental circumferential mural thickening involving several jejunal and ileal loops (thick white arrows). Axial T2-W image (C) displays an under distended urinary bladder containing a Foley catheter showing diffuse wall thickening (thick black arrows). Coronal T2-W and post-contrast T1-W images (D, E) demonstrate multi-segmental mural thickening involving several jejunal and ileal loops showing increased enhancement due to active nature of inflammation (black arrowheads). Submucosal edema is also noted (thin black arrow). Axial T2-W and post-contrast T1-W images (F, G) also reveal involvement of rectosigmoid colon (white dotted ovals). Small amount of free fluid is noted at the abdominopelvic cavity (black asterisks)

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