Ileocolonic Crohn's and left sided abdominal pain. 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: There is mild wall thickening and increased enhancement of the distal ileum connecting to the cecum and proximal cecum. These findings are suggestive of mild active Crohn's disease.There is also increased enhancement and wall thickening of the rectosigmoid colon. There is a left perirectal abscess measuring 2 x 1.6 cm on image #20, series #17 with fluid fluid levels.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. MR findings compatible with active inflammation of rectosigmoid colon and terminal ileum and cecum. Small left perirectal abscess.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.