35 years old male with diarrhea and weight loss

History 35 years old male with recurrent episodes of diarrhea for 1 year. Presentation with Quick value <10%, iron deficiency anemia, and vitamine B12 deficiency. Imaging findings At MRI enterography there is segmental ileal wall thickening with evidence of fat tissue within the thickened bowel loop (A, T2-weighting). The contrast-enhanced scan in coronal orientation shows…

35 years old female with peranal bleeding

History A 35 years old female with known type 1 neurofibromatosis presented with lower gastrointestinal bleeding. At upper and lower endoscopy the source of the bleeding could not be identified. Imaging findings Unenhanced (A), arterial phase (B), and portal venous phase (C) CT scans show a well-defined mass with heterogenous enhancement at the outer aspect…

38 years old female with postpartal anuria

History 38 years old female with acute anuric renal failure 7 days after delivery complicated by postpartal hemorrhage. Imaging findings The arterial phase CT scan shows lack of cortical enhancement of both kidneys (image A). In the nephrographic phase there is enhancement of the renal medulla and the very outer part of the renal cortex…

30 years old male with hematologic malignancy

History 30 years old male during high-dose chemotherapy with cytarabine for hematologic malignancy. Imaging findings A PET-CT scan was performed for staging. Images A and C (minimum intensity projections in lung window) show diffuse intramural gas in the right hemicolon as well as gas in the pericolonic fat. Image B is a slabbed volume rendering…

25 years old female with chronic right upper quadrant abdominal pain

History 25 years old female with chronic right upper quadrant abdominal pain. Imaging findings Portal venous phase contrast-enhanced MRI shows multiple liver lesions compatible with metastases (A). In MRCP, cystic dilatations of extrahepatic bile ducts including common hepatic duct and common hepatocholedochal duct (B, arrows) are visible. Coronary T2-weighted imaging (C) and coronal portal venous…

34 years old female after car accident

History 34 years old female after car accident as front-seat passenger. The vehicle was overturning several times after tumbling down a scarp with 140 km/h. She complains about paresthesia of the right index and middle finger. Imaging findings Axial CT scans of the cervical spine show a fracture of the right articular process of C7…