https://www.youtube.com/watch?v=ZA4xFrtCeZg
https://www.youtube.com/watch?v=iefghc2g91M
https://www.youtube.com/watch?v=chSyQPKsNk4
https://www.youtube.com/watch?v=XrnHHuToFBk
IMAGING FINDINGS | Description |
---|---|
I. INFLAMMATORY FINDINGS | |
Reactive mesenteric lymphadenopathy | Surrounding hyperenhancing lymph nodes typically measuring 3-8 mm in size |
Active inflammation marker | |
Fat stranding | Increased attenaution of the surrunding mesenteric fat |
Active inflammation marker | |
Fibrofatty proliferation | |
aka, creeping fat or fat wrapping | |
Asymmetric proliferation of fat usually along the mesnteric border (almost exclusively seen in Crohn’s) | |
Chronic/inactive inflammation marker | |
Engorged vasa recta “comb sign” | Vascular engorgement on the mesenteric side with a linear appearance resembling the teeth of a hair comb |
Active inflammation marker | |
Bilaminar stratification | Mucosal enhacement (hyperattenuating) |
Submucosal edema (hypoattenuating) | | Trilaminar stratification | Mucosal enhacement (hyperattenuating) + Submucosal edema (hypoattenuating) + Serosal enhacement (hyperattanuating) | | Fat halo sign | Infiltration of the submucosa with fat between the muscularis propria and the mucosa | | III. COMPLICATIONS | | | | |
I. Inflammatory mesentery
II. Bowel wall changes
III. Disease complications