Demographics:
48 years old, Male
Indication:
Generalized abdominal pain
Findings
Lower chest
- Mild dependent atelectasis
Abdomen/Pelvis
- Circumferential wall thickening of the celiac artery and major branches including the common, proper, and right hepatic arteries and residual splenic artery with surrounding fat stranding
- These inflammatory changes result in up to 50% luminal narrowing without occlusion
- Cholecystectomy
- Mild intrahepatic biliary duct dilation
- Splenectomy
- 1.4 cm fat-containing left adrenal nodule
- Mild edema in the small bowel mesentery
- Colonic diverticulosis
- Prostatomegaly
MSK
- No acute findings
Diagnosis
Celiac artery vasculitis
Sample Report
Findings concerning for vasculitis involving the celiac artery and branch vessels, which results in luminal narrowing up to 50%.
Nonspecific edema in the small bowel mesentery, which likely relates to the above findings.
No findings to suggest bowel ischemia.
Discussion