CT abdomen – handout available

Abdomen CT with intravenous contrast administration. Scan performed supine.

The liver, spleen, pancreas, adrenals and kidneys have a normal appearance. The small bowel presents decreased jejunal folds, intestinal wall thickening, and occasional dilatations, indicative of inflammatory process of uncertain origin. The large bowel is unremarkable, with no faecal loading or dilation. Mesenteric lymphadenopathy is identified. No free fluid or gas is seen. Vascular structures are normal.

Conclusion: Small intestine inflammation of uncertain origin/significance. Clinical correlation required.

MR Enterography – handout available

MR Enterography was performed according to department protocol. Cine imaging and dynamic post contrast imaging of the bowel was also performed.

The bowel is well demonstrated, with good distribution of contrast and bowel distention. There is evidence of small bowel wall thickening and oedema, with abnormalities in the fold pattern, likely resulting from mucosal inflammation. Small bowel dilatations are noted. Cine imaging demonstrates normal peristalsis. There is no evidence of penetrating disease. No fistula or abscess is identified. There are no foci of stenosis or stricture.

Extraenteric assessment: The small and large bowel mesenteric fat is normal, as is the omentum. Mesenteric lymphadenopathy, likely reactive, is seen.

Conclusion: Abnormal MRI Enterography. Clinical correlation required.

Other imaging