Crohn's disease status post ileocecectomy x2. Evaluate for stricture or adhesions and active inflammation. ABDOMEN:LIVER, BILIARY TRACT: Right hepatic lobe cyst. Otherwise unremarkable liver.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 small bowel is adequately distended with oral contrast. The small bowel fold pattern is unremarkable.There are postsurgical changes from an ileocecectomy. The small bowel including the terminal ileum is normal in caliber, wall thickness and demonstrates normal postcontrast enhancement without restricted diffusion or adjacent inflammatory changes. No free or loculated fluid. No evidence of sinus tract or fistula formation. No fixed stricture or prestenotic dilatation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Left adnexal bilobed cystic lesion measuring 5.4 x 2.6 cm without suspicious imaging features.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 unremarkable.There are postsurgical changes from an ileocecectomy. The small bowel including the terminal ileum is normal in caliber, wall thickness and demonstrates normal postcontrast enhancement without restricted diffusion or adjacent inflammatory changes. No free or loculated fluid. No evidence of sinus tract or fistula formation. No fixed stricture or prestenotic dilatation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No specific findings of active small bowel inflammation or fibro-stenotic disease.2.5.4 cm left adnexal cystic lesion. Follow-up ultrasound in 4-6 weeks is recommended to document resolution. 