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Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: MR enterography in small bowel diseases, adding multipoint Dixon sequence, is it worth?

Fig. 2

(Case 1): A 39-year-old male patient, presented with persistent diarrhea and weight loss, ultrasound performed was free, MRE was performed. Axial and coronal T2 Haste (half-Fourier acquisition single-shot turbo spin-echo) images AB show circumferential mural wall thickening at the distal ileum with stricture formation at the ileo-caecal junction (white arrows), coronal T2 Haste (half-Fourier acquisition single-shot turbo spin-echo) FAT SAT image (arrow) C, coronal TRUFI: true fast imaging with steady-state free precession with FS D, coronal T1 vibe Dixon pre-contrast and post-contrast images with FS E,F show enhancement of the distal ileum with stricture formation as well as mid-ileal loops with enhanced thickened walls (skip lesions), few enhancing reactive mesenteric lymphnodes are seen, axial T1 vibe Dixon pre-contrast and post-contrast images G, H show thickening of distal and mid ileal loops. Ileo-coloscopy image I showed severe hyperemia, inflammation, thickening, wall thickening and irregularities with multiple ulcerations of terminal ileum. Laboratory investigations & endoscopy (ileo-colonoscopy) were done by experienced gastroenterologist and confirmed the radiological diagnosis of Crohn’s disease

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