PMC3959328_01
Chest x-ray on admission showing consolidation with thin airbronchogram in the right upper lobe
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F1
Chest-radiograph showed a consolidation in the right upper pulmonary field (Fig. 1), air blood gases (ABGs) revealed hypocapnea, and blood tests showed leukocytosis (without eosinophilia), high CRP and D-dimers, low albumin and marginally low sodium (Table 1).
Spiral (unenhanced) abdominal CT demonstrated thickening of small bowel in several loops, haziness of the mesentery and ascitic fluid collection
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F2
On day 2 she had an unenhanced (due to strong history of allergy and no time for desensitization) spiral abdominal CT (Fig. 2), which showed a large amount of free fluid collection and thickening of several small bowel loops, without evidence of perforation.
Mild thickening of the distal ileum mucosal folds demonstrated by MRI enteroclysis (3 months after the episode and still under corticosteroids) with true-FISP sequence in coronal plane
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F3
The patient had a straightforward recovery, and she subsequently underwent an MRI-enteroclysis to further study the affected small bowel (Fig. 3).