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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">SAJR</journal-id>
<journal-title-group>
<journal-title>SA Journal of Radiology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1027-202X</issn>
<issn pub-type="epub">2078-6778</issn>
<publisher>
<publisher-name>AOSIS</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">SAJR-20-1029</article-id>
<article-id pub-id-type="doi">10.4102/sajr.v20i1.1029</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Quiz Case</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Abdominal and neuroimaging quiz case</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Misser</surname>
<given-names>Shalendra</given-names>
</name>
<xref ref-type="aff" rid="AF0001">1</xref>
</contrib>
<aff id="AF0001"><label>1</label>Lake Smit and Partners Inc, Durban, South Africa</aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><bold>Corresponding author:</bold> Shalendra Misser, <email xlink:href="shalendra.misser@lakesmit.co.za">shalendra.misser@lakesmit.co.za</email></corresp>
</author-notes>
<pub-date pub-type="epub"><day>22</day><month>06</month><year>2016</year></pub-date>
<pub-date pub-type="collection"><year>2016</year></pub-date>
<volume>20</volume>
<issue>1</issue>
<elocation-id>1029</elocation-id>
<history>
<date date-type="received"><day>06</day><month>05</month><year>2016</year></date>
<date date-type="accepted"><day>12</day><month>05</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2016. The Authors</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/">
<license-p>AOSIS. This work is licensed under the Creative Commons Attribution License.</license-p>
</license>
</permissions>
</article-meta>
</front>
<body>
<p>A 40-year-old lady had a CT and an MRI scan of her brain for investigation of severe headache following recent recurrent bowel surgery. The post-operative course was complicated by abdominal wall haematoma, and she required multiple blood transfusions. The background history of multiple previous bowel resections and chronic anti-inflammatory therapy for inflammatory bowel disease was noted.</p>
<p>Describe the relevant imaging findings and formulate the most appropriate clinical diagnosis.</p>
<p>Please submit your response to <email xlink:href="shalendra.misser@lakesmit.co.za">shalendra.misser@lakesmit.co.za</email> not later than 31 July 2016.</p>
<p>The winning respondent will receive R2000 as a reward from the RSSA.</p>
<p>A detailed diagnosis and discussion will be presented in the next issue of the SAJR.</p>
<fig id="F0001">
<label>FIGURE 1</label>
<caption><p>Coronal reformat images (a, b and c) of the abdomen in venous phase after intravenous contrast administration.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJR-20-1029-g001.tif"/>
</fig>
<fig id="F0002">
<label>FIGURE 2</label>
<caption><p>Sagittal (a) and (b) axial images of the abdomen in venous phase after intravenous contrast administration.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJR-20-1029-g002.tif"/>
</fig>
<fig id="F0003">
<label>FIGURE 3</label>
<caption><p>Axial non-contrasted (a) CT image, (b) T2 and (c) axial T1-weighted MRI images.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJR-20-1029-g003.tif"/>
</fig>
<fig id="F0004">
<label>FIGURE 4</label>
<caption><p>Coronal flair MRI image.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJR-20-1029-g004.tif"/>
</fig>
<fig id="F0005">
<label>FIGURE 5</label>
<caption><p>Axial diffusion-weighted b1000 MR images (a, b, c and d).</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJR-20-1029-g005.tif"/>
</fig>
<fig id="F0006">
<label>FIGURE 6</label>
<caption><p>Corresponding axial ADC-mapped MR images (a, b, c and d).</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJR-20-1029-g006.tif"/>
</fig>
<fig id="F0007">
<label>FIGURE 7</label>
<caption><p>Axial SWI MR images (a and b).</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJR-20-1029-g007.tif"/>
</fig>
<fig id="F0008">
<label>FIGURE 8</label>
<caption><p>Corresponding axial PHASE MR images (a and b).</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="SAJR-20-1029-g008.tif"/>
</fig>
</body>
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<fn-group>
<fn><p><bold>How to cite this article:</bold> Misser S. Abdominal and neuroimaging quiz case. S Afr J Rad. 2016;20(1), a1029. <ext-link ext-link-type="uri" xlink:href="http://dx.doi.org/10.4102/sajr.v20i1.1029">http://dx.doi.org/10.4102/sajr.v20i1.1029</ext-link></p></fn>
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