23 year old male with a history of Crohn's disease with prior perforation last 2/2014. Presents with abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.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: There are multiple scattered mesenteric lymph nodes. BOWEL, MESENTERY: Note is made of wall thickening and increased signal abnormality with associated enhancement affecting a long segment of the terminal ileum measuring approximately 10 cm in length. No evidence of fistula formation. There is no focal fluid collection to suggest abscess formation. The appendix is normal in size and appearance. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings consistent with acute on chronic inflammatory bowel disease affecting a long segment of the terminal ileum. No evidence of abscess formation or fistula, as clinically questioned. 