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Insights into Imaging
Fig. 16 | Insights into Imaging

Fig. 16

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

Fig. 16

Intestinal vasculitis and renal infarction in a 29-year-old female with known SLE presenting with fever, malaise, generalized abdominal pain, dyspnea, and elevated ESR. An abdominopelvic CT scan with IV and oral contrast was done. There are subpleural patchy areas of GGO at the left lower lobe suggestive of lupus pneumonitis (thick black arrows in A). Small pericardial effusion and thickening (thin white arrows in B) are seen in favor of serositis. There is a wedge-shaped subcapsular hypodensity in the spleen (white dotted oval in C), indicative of splenic infarction. Multiple bilateral wedge-shaped renal parenchymal infarcts are also depicted (thick white arrows in D). Diffuse circumferential wall thickening of ileal loops (white arrowheads in E and F) is evident, representing lupus enteritis

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