History of Crohn's disease at the TI. Evaluate extent of disease. 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: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Acute inflammation involving the terminal ileum and the surrounding proximal small bowel loops as well as suspected involvement of the adjacent sigmoid colon. These bowel loops are angulated and drawn in centrally towards the distal ileum with signal characteristics consistent with acute inflammation. A fistulous communication between the distal ileum and sigmoid colon is not visualized but cannot be excluded.