What does scattered wall thickening meaning?
Colonic scattered mural thickening:- Inflammatory bowel disease. (most prominent with Crohn's Colitis)
- Infection: viral gastroenteritis (including CMV), bacterial
- Clostridium difficile colitis/toxin, Campylobacter jejuni, E. coli O157:H7 , Mycobacterium, etc..
- Diverticulitis (most commonly seen on the lower left quadrant
- Ischemic bowel disease (especially if there is segmental involvement) , both chronic or acute.
- Appendicitis
- Colonic Pseudoobstruction syndrome
- Vasculitis
- Crohn’s ileitis: Mural thickening with inflammatory “comb sign’’
- Lymphoma (often diffuse, can have target lesions; usually has marked mesenteric fat involvement as well (creeping fat or mesenteric panniculitis).
- Radiation induced bowel disease
- Sarcoidosis / Amyloidosis: Usually patchy colonic involvement. Amyloidosis may be difficult to visualize without distension (may require prone-supine and decubitus views; often affects ascending colon in elderly)
- Collagen Vascular Diseases- Behçet disease, Henoch–Schönlein purpura, polyarteritis nodosa and ulcerative colitis