66-year-old woman with history of Crohn's and left-sided abdominal pain. Patient is status post ileocecectomy and hysterectomy. ABDOMEN:LIVER, BILIARY TRACT: The liver appears normal. There is no intra or extrahepatic biliary duct dilatation.SPLEEN: Spleen is normal.PANCREAS: The pancreas is normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: Patient is status post ileocecectomy. There is a short segment of concentric small bowel wall thickening involving approximately 5 cm of the neoterminal ileum (series 5, images 14-17) with mild postcontrast enhancement. There is mild fatty proliferation surrounding the neoterminal ileum. The small bowel and colon are otherwise normal. There is no evidence of obstruction.BONES, SOFT TISSUES: Postsurgical artifact noted in the ventral mid abdomen.OTHER: The patient is status post hysterectomy.
1. Thickwalled neoterminal ileum (located in right hemipelvis and involved segment seen directed towards the left, area of involvement measures approximately 5 cm) with decreased distensibility and mild postcontrast enhancement, suspicious for acute on chronic inflammation.