50 year-old male. Small bowel Crohn's. Evaluate extent of disease. Cramping. ABDOMEN:LIVER, BILIARY TRACT: Multiple bilobar homogeneously T2 hyperintense hepatic cysts, unchanged. Signal loss of the liver on out of phase images consistent with fatty infiltration. No biliary ductal dilatation.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: Approximately 12 cm long segment of most distal terminal ileum with submucosal fat deposition and cord like enhancement. This segment is persistently collapsed on all sequences with mild upstream bowel dilatation suggestive of fibrostenotic chronic inflammatory bowel disease.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings consistent with fibrostenotic chronic inflammatory bowel disease of approximately 12 cm of most distal terminal ileum.