15-year-old male patient status post colectomy for colitis, now being evaluated for possible anastomosis. Evaluate for evidence of small bowel Crohn's disease.EXAMINATION: MR enterography without and with IV contrast 10/04/2016. ABDOMEN:LIVER, BILIARY TRACT: Layering sludge noted within the gallbladder.SPLEEN: Splenule 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: There are postsurgical changes from end ileostomy in the right lower quadrant and rectal pouch. There is long segment moderate to marked thickening of the duodenum and proximal jejunum without significant enhancement. Decreased peristalsis is noted in this segment of bowel. There is mild thickening of the remaining rectum, which also demonstrates mucosal enhancement and decreased peristalsis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There is a small amount of fluid in the pelvis.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: As above. BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
1.Long segment thickening of the duodenum and proximal jejunum without significant enhancement. This suggests an element of chronic inflammation.2.Mild mucosal thickening and enhancement of the remaining rectum suggestive of active on chronic inflammation. 