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. 2023 Jan 24;9(1):e002852. doi: 10.1136/rmdopen-2022-002852

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© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Radiological presentation: (A) and (B) representative MRI images (A=T1 VIBE fat-saturated images postcontrast B=T2 haste) of the intraabdominal manifestations present in our patient before initiation of therapy with prednisone and MTX (C) and (D) follow-up MRI images after approx. 1 month of therapy with prednisone and MTX. (C=T1 VIBE fat-saturated images postcontrast D=T2 HASTE) The lesions (marked with Δ) show strong contrast uptake and are T2 hypointense. Additional diffusion weighted sequences (not shown) show no significant restriction of diffusion. MTX, methotrexate.