EURORAD ESR

Case 15281

Brown Tumours in Association with Ulcerative Colitis: An Unusual Case

Author(s)
Dr F Ahmed, Dr K Rana

Sandwell General Hospital, SWBH NHS Trust, Radiology; Lyndon, West Bromwich B71 4HJ Birmingham; Email:khizerrana@yahoo.co.uk
 
Patient
male, 23 year(s)
 
 
  • Figure 1
    CT Abdomen and pelvis with Contrast (axial)

    Wall thickening in the sigmoid consistent with active colitis

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    MRI Abdomen (post gad T1 and T2 axial)
     

    Thickened sigmoid with avid enhancement consistent with colitis

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Diffuse wall thickening in the sigmoid colon (T2 axial)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    CT Pelvis with contrast (axial & sagittal views)
     

    Axial view of the pelvis, showing lytic lesion in Right Iliac Bone (yellow arrow) and Bilateral Sacroilitis (red arrows)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Sagittal view showing lytic lesion in right iliac bone

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    MRI Abdomen T2 (axial & coronal)
     

    Lytic lesion (blue arrow) in right Iliac bone with high T2 signal

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Lytic lesion (blue arrow) in left Iliac bone with high T2 signal

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Lytic lesions (blue arrows) in both Iliac bones with high T2 signal

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 5
    MRI Abdomen (post gad T1 axial)

    Post Gad T1 sequence showing bilateral sacroilitis (yellow arrows) with a lytic lesion (blue arrow) in the right iliac bone

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Wall thickening in the sigmoid consistent with active colitis
 
Thickened sigmoid with avid enhancement consistent with colitis
 
Diffuse wall thickening in the sigmoid colon (T2 axial)
 
Axial view of the pelvis, showing lytic lesion in Right Iliac Bone (yellow arrow) and Bilateral Sacroilitis (red arrows)
 
Sagittal view showing lytic lesion in right iliac bone
 
Lytic lesion (blue arrow) in right Iliac bone with high T2 signal
 
Lytic lesion (blue arrow) in left Iliac bone with high T2 signal
 
Lytic lesions (blue arrows) in both Iliac bones with high T2 signal
 
Post Gad T1 sequence showing bilateral sacroilitis (yellow arrows) with a lytic lesion (blue arrow) in the right iliac bone
 
 
 
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