Comparison of US Strain Elastography and Entero-MRI to Typify the Mesenteric and Bowel Wall Changes during Crohn’s Disease: A Pilot Study

Figure 2

Transverse US-scan of the last ileal loop in a 26-year-old female shows wall thickening in which stratification was completely lost and there is hypoechoic appearance of perivisceral fat. The gray scale (a) findings and US-SE (b) aspect performed at this level are suggestive for fibrotic pattern. The MR study ((c) and (d)) confirmed these suspicions: T2 weighted coronal view revealed hypointensity of the bowel wall, T1 weighted coronal postcontrast showed enhancing of the bowel wall without stratification.

(a)

(b)

(c)

(d)