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Bowel thickening, also called thickening of the colon wall, is a medical term used to describe the swelling, widening, or hardening of the tissue and cells that make up the bowel wall. This condition results from inflammation of the tissues which leads to the narrowing of the bowel.
Type 2 - Gray Attenuation. In the gray-pattern, the bowel wall is thick and despite a nice bolus of contrast there is poor enhancement and you can not see the different layers of the bowel wall. This pattern is seen in chronic fibrotic Crohn's disease, ischemia and neoplasms like adenocarcinoma and lymphoma.