The upper gastrointestinal tract appeared relatively unremarkable. However, the distal small intestine and colon were significantly thickened. A portion of the distal jejunum or ileum close to the ileocecal region revealed focal, regional, mixed hypoechoic lesion with reactive surrounding fat. A separate portion of jejunum was thickened and spasmic with loss of detail and measured 4.39 x 1.7 cm and had regional inflammation with echogenic material and corrugated bowel. The colonic wall measured 0.6 cm. Ill defined mesentery was noted from the ileocecal region to the urinary bladder. A portion of intestinal pathology adjacent to the ileocecal valve measured 2.38 x 1.8 cm. Ultrasound-guided FNAs were performed of this lesion without complication.