31-year-old female with history of Crohn's disease with fistula/abscess in the past who presents for follow-up 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: Again noted is narrowing of the bowel loops in the left lower quadrant. Long segment of distal ileum demonstrates loss of normal folds with evidence of fibrostenotic disease and associated fibrofatty proliferation compatible with chronic disease; this segment measures approximately 13 cm in length. Very small segment of terminal ileum is again noted to demonstrate contrast enhancement (series 7, image 22).No evidence of a mass or a fistula.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Detailed above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Long segment of chronic disease affecting the distal and terminal ileum. Very small segment of terminal ileum demonstrates contrast enhancement consistent with active disease.2.No evidence of abscess or fistula.