Female 36 years old Reason: h/o Crohn's, s/p 2 resections with possible proximal to previous anastomosis. intermittent obstructions. History: elevated crp, intermittent obstructions with bloating ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Signal dropout on out of phase images consistent with diffuse hepatic steatosis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Left adrenal nodule measures 1.4 cm. It is unchanged in size compared to prior CT 11/27/13. It demonstrates signal dropout on out of phase images and is consistent with adenoma.KIDNEYS, URETERS: Subcentimeter T2 hyperintensity within the left kidney compatible with a renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post ileocecectomy. Second side-to-side small bowel anastomosis in the mid/distal ileum. In the distal ileum in the region of the anastomosis and in the neoterminal ileum there are segments of mild hyper enhancement of the wall of the bowel with minimal edema in this region. There is no significant wall thickening or increased signal high B value diffusion weighted images.There is focal narrowing of the rectum which persists on serial sequences with mild wall edema and hyperenhancement (series 22, image 69).Additionally there is tethering of the neoterminal ileum to rectum in this region suggestive of underlying adhesions (series 22, image 79; series 23, image 24). BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Bilateral physiologic ovarian follicles. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace pelvic free fluid.
1. Mucosal hyperenhancement and mild edema involving the neoterminal ileum and a focal segment of rectum. Focal adhesions are identified between these two abnormal segments of bowel. 2. Hepatic steatosis.