Female 26 years old Reason: Crohns disease, evaluate small bowel for stenosis History: - 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: No significant abnormality noted.BOWEL, MESENTERY: The patient is status post colectomy and right lower quadrant end ileostomy.Long segment multifocal bowel wall thickening, mucosal hyperenhancement, engorgement of the vasa recta and luminal narrowing, with associated prestenotic dilatation affecting the distal ileum. The area of wall thickening and luminal narrowing just proximal to the prestenotic dilatation (series 12/62) persists on all phases, raising concern for an underlying stenosis. There is adjacent fibrofatty proliferation suggesting acute on chronic inflammation. The entire length is difficult to determine but is estimated to be on the order of approximately 20 cm.There is an additional short segment of mucosal hyperenhancement and luminal narrowing in a more distal segment of ileum (series 13/65), consistent with active inflammation.Prominent mesenteric lymph nodes are again seen about the areas of active inflammation, which are presumably reactive.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: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings compatible with long segment multifocal acute on chronic inflammation of the ileum as detailed above, as well as an additional more remote short segment of active inflammation in the distal ileum. 2.Focal wall thickening and luminal narrowing resulting in prestenotic dilatation, which may be due to acute inflammation, although raising concern for an underlying stenosis.