Posted 3/8/2014 7:24 PM (GMT -5)
My DD got her MRI results for her abdomen and there is one aspect that I wanted experts to help me. It says "However there is some regional contrast enhancement during the early postcontrast gradient-echo imaging (series 13, 14: Postcontrastgradient-echo images)". What does this mean?
I have enclosed complete MRI report.
Clinical history: Colitis. Evaluate for small bowel disease.
Clinical History: Right lower quadrant inflammatory pain, concern for inflammatory bowel disease.
Technique: Multiple axial, coronal, sagittal images are performed using a combination of T1 and T2 spin-echo; gradient echo ( Lavaflex,multiphase FIESTA); and postcontrast gradient-echo technique.
Oral contrast: Volumen.
Intravenous contrast material: Gadolinium DTPA, 0.2 cc per kilogram.
Complications: None.
Study limitations: Slight motion artifact.
Upper abdominal parenchymal organs: Normal.
Biliary system: Nondilated; normal appearing gallbladder.
Kidneys: Normal size, contour, no masses, no hydronephrosis.
Retroperitoneum: Normal. Abdominal great vessels: No abnormality.
Small bowel: No evidence of bowel wall thickening, loop separation,mesenteric hypertrophy. The terminal ileum is normal in appearance.However there is some regional contrast enhancement during the early postcontrast gradient-echo imaging (series 13, 14: Postcontrast gradient-echo images).
Colon: Not directly studied. Moderate retained stool noted.
Adenopathy none.
Appendix: Unremarkable.
Perirectal tissues: Unremarkable.
Inguinal canals: Normal, no hernia.
Bony structures: Mild broad-based thoracolumbar curvature. Recommend dedicated clinical exam for scoliosis.. Normal intramedullary signal for age.
Spine: Unremarkable.
Lung bases: Limited visualization, no abnormality.
Super superficial soft tissues: Unremarkable.
Summary: regional right lower quadrant small bowel contrast enhancement. However it does not clearly affect the terminal most ileum, and there is no other anatomical evidence of small bowel
disease. No other diagnostic abnormality. (Spine configuration concerning for mild thoracolumbar curvature; recommend dedicated clinical exam for scoliosis.)