Axial T1 fat-suppressed MRI of the lower abdomen obtained after the administration of intravenous gadolinium contrast reveals bright areas of inflammatory enhancement of the RLQ paracolic fat (red arrow). Axial T1 fat-suppressed MRI of the lower abdomen obtained after the administration of intravenous gadolinium contrast reveals bright areas of inflammatory enhancement of the RLQ paracolic fat (red arrow). Note high signal intensity in the surrounding subcutaneous fat of the abdominal wall, consistent with edema. Deepa S. Joshi et al. Hospital Pediatrics 2015;5:101-105 ©2015 by American Academy of Pediatrics