Female 44 years old Reason: 44yo female with evidence of quiescent Crohn's in cecum/ileocecal valve with continue diarrhea and abdominal pain. Evaluate for small bowel Crohn's disease History: diarrhea and abdominal pain ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. Signal loss on out of phase imaging compatible with fatty infiltration.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small bowel is normal in caliber and course. The terminal ileum is normal in caliber. The ileocecal valve is patent. No surrounding inflammatory changes or evidence for hyperemia.There is a focal segment of narrowing involving the sigmoid colon measuring 2.5 cm.There are additional segments distal to this that are collapsed but show mucosal hyperenhancement.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Please see aboveBONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No evidence of stricture or inflammation involving the terminal ileum..2.Findings of narrowing and mucosal enhancement within the sigmoid colon.