Male, 13 years old. Reason: Please evaluate extent of Crohn's involvement History: Newly diagnosed Crohn's disease, abdominal pain, diarrhea, weight lossEXAMINATION: MR enterography without and with IV contrast 3/23/15, 1327 ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. No intrahepatic or extrahepatic ductal dilatation. The gallbladder is normal.SPLEEN: Normal size and enhancement.PANCREAS: Normal size and enhancement.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No focal lesions or significant hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: A segment of distal ileum approximately 20 cm in length up to the ileocecal valve shows multiple areas of bowel wall thickening and enhancement alternating with short segments of saccular dilation (series 2101, image 339). These findings suggest active inflammatory process. No evidence of stricture, fistula, or bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: A segment of distal ileum approximately 20 cm in length up to the ileocecal valve shows multiple areas of bowel wall thickening and enhancement alternating with short segments of saccular dilation (series 2101, image 339). These findings suggest active inflammatory process. No evidence of stricture, fistula, or bowel obstruction.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Areas of bowel wall thickening/enhancement and saccular dilatation involving a 20cm segment of distal ileum up to the ileocecal valve, compatible with a suspected history of Crohn's disease.