51-year-old woman with history of Crohn's disease status post total proctocolectomy on Azathioprine. Patient now has right upper quadrant pain. ABDOMEN:LIVER, BILIARY TRACT: Decreased signal on out of phase imaging suggests diffuse hepatic steatosis with small areas of sparing. No focal hepatic lesion identified. Cholelithiasis without evidence of acute cholecystitis.SPLEEN: The spleen is normal.PANCREAS: The pancreas is normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: A subcentimeter cyst is seen in the right upper pole. The left kidney is normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy is identified.BOWEL, MESENTERY: The patient is status post proctocolectomy and a right lower quadrant ostomy is identified. No focal bowel wall thickening or abnormal enhancement is identified. There is no evidence of obstruction.BONES, SOFT TISSUES: No significant abnormality is identified.OTHER: No significant abnormality noted.PELVIS:UTERUS/ADNEXA: Nabothian cyst formation noted. BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy noted.BONES, SOFT TISSUES: Very mild left-sided perineal subcutaneous soft tissue stranding is seen, however previously seen T2 hyperintense fistulous tract appears to have resolved.OTHER: A very small amount of loculated pelvic fluid is seen, predominantly on the right.
No evidence of active Crohn's disease.