Reason: 52 y.o. with h/o Crohn's with ostomy. MRE in 1/2015 showed left paracolic gutter abscesses and sinus tracts with fistulous communication with the rectal stump. Please eval if worsened or improved. History: abd pain, fistula/abscess as above. ABDOMEN:LIVER, BILIARY TRACT: Segment 6 liver cysts, unchanged.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Mild to moderate left hydroureteronephrosis with thickening of the distal left ureteral wall. Left nephroureteral stent. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes of small bowel, sigmoid colon, and ileocecal resection with a right lower quadrant ileostomy. No evidence of bowel wall thickening or inflammation.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: Postsurgical changes of small bowel, sigmoid colon, and ileocecal resection with a right lower quadrant ileostomy. No evidence of bowel wall thickening or inflammation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Interval resolution of left pelvic abscess.
1.Postsurgical changes without definite evidence of active inflammatory bowel disease.2.Interval resolution of left pelvic abscess. 3.Left hydroureteronephrosis with stent. Distal ureteral wall thickening, nonspecific. 