History of high-grade obstruction in the ileum status post clinical improvement. Retrocaval ureter with percutaneous nephrostomy. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size, signal intensity and enhancement. No focal lesion, biliary ductal dilatation or vascular abnormality.SPLEEN: The spleen is normal in size and morphology without a discrete lesion.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Interval improvement of right-sided hydronephrosis with a percutaneous nephrostomy catheter.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The ileum is adequately distended with oral contrast. The jejunum is suboptimally distended.The small bowel fold pattern is unremarkable.The bowel is normal in caliber without wall thickening, abnormal postcontrast enhancement, or restricted diffusion.There is no surrounding inflammatory changes or fibrofatty proliferation.There is no evidence of persistent luminal narrowing or prestenotic/upstream dilatation to suggest a flow-limiting stricture.Nonspecific small mesenteric lymph nodes are present.No evidence of sinus tract or fistula formation.The colon is normal in appearance.No significant free fluid or loculated fluid collection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No evidence of significant active small or large bowel inflammation. No flow-limiting stricture. No evidence of obstruction.Interval improvement in right-sided hydronephrosis with placement of percutaneous nephrostomy.