History of questionable Crohn's disease presenting with chronic abdominal pain mainly in the left upper quadrant. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Nonspecific borderline splenomegaly without a focal lesion.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: The small bowel is adequately distended with oral contrast. The small bowel fold pattern is maintained.The terminal ileum is well visualized and demonstrates normal wall thickness and signal intensity without abnormal enhancement, restricted diffusion, or perienteric inflammatory changes. The remainder of the small bowel is similarly unremarkable.No fixed narrowing or upstream/prestenotic dilatation to suggest a flow-limiting stricture.No evidence of sinus or fistulous tract formation.Trace free pelvic fluid is within physiologic limits.No loculated fluid collection.The colon is unremarkable.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The small bowel is adequately distended with oral contrast. The small bowel fold pattern is maintained.The terminal ileum is well visualized and demonstrates normal wall thickness and signal intensity without abnormal enhancement, restricted diffusion, or perienteric inflammatory changes. The remainder of the small bowel is similarly unremarkable.No fixed narrowing or upstream/prestenotic dilatation to suggest a flow-limiting stricture.No evidence of sinus or fistulous tract formation.Trace free pelvic fluid is within physiologic limits.No loculated fluid collection.The colon is unremarkable.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No evidence of active bowel inflammation, flow-limiting stricture or sinus/fistulous disease; normal appearing terminal ileum.Nonspecific borderline splenomegaly without a focal lesion.