Fig. 3
From: MR enterography in small bowel diseases, adding multipoint Dixon sequence, is it worth?
(Case 2) A 33-year-old male patient, presented with status follow-up of a known case of Crohn’s disease post-right ileostomy operation, ultrasound was performed with no conclusive data, MRE was performed. Axial T2WI and axial T1 vibe Dixon post-contrast with FS images A, B, coronal T1 Dixon with FS C, show circumferential mural wall thickening at the distal ileum with stricture formation and minimal fibrotic streaks at the operative bed, enhancement of mural wall thickening, clear surrounding fat planes (white arrows). No perilesional collection. Coronal T2 Dixon with FS with contrast (water only) D, axial T2WI, axial T2 Dixon with FS (water only) E, F show bilateral sacro-iliitis in the form of subchondral bone marrow fatty changes display high T2WI signal intensity and suppressed its signal in Dixon with FS (red arrows), enhancement in post-contrast of subchondral bone marrow areas of altered signal intensity. Endoscopy image G showed few ulcerations of terminal ileum (black arrows). Denoting recurrence of the disease