There is a 2.8 x 1. 5 cm avidly enhancing mass in the left side of the abdomen within the jejunal mesentery. It enhances uniformly and avidly with contrast. The lesion exhibits a desmoplastic like reaction leading to a characteristic “spoke-like” appearance of mesenteric vessels. Due to the demoplastic reaction, the adjacent jejunal bowel loops are angulated and retracted towards the lesion. Affected jejunal loops show focal dilatation and enhancement with significant thickening. No appreciable calcifications within it.
Jejunal branch of SMA leading to the mass appears hypertrophied with increased perilesional vascularity. No wall thickening or obstruction of small bowel proximal to it.
There are multiple discrete and enhancing lymph nodes along the branches of SMA with the largest 9mm in SAD.
No focal liver lesions. Visualized lung bases are free of deposits