Provided history of ileocolonic Crohn's. No surgical history is available. No surgery reported in EPIC progress notes. 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: Portions of the jejunum are suboptimally distended limiting evaluation without specific evidence of active inflammation.The terminal ileum is well seen (series 6/20). It is normal in morphology and signal intensity. There are multiple regions of active inflammation involving the proximal and mid ileum including a 6 cm segment in the left hemiabdomen (series 6/21). There is an adjacent approximately 6 cm skip lesion. In the right hemiabdomen there is a 5 cm actively inflamed stenotic segment with significant chronic appearing dilatation of the upstream small bowel loop up to 5.9 cm.There is surrounding fibrofatty proliferation. No free fluid or loculated fluid collection.No evidence of sinus tract or fistula formation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Active inflammation of several segments of the proximal and mid ileum, increased from the prior. Actively inflamed 5 cm stenotic segment in the right hemiabdomen is associated with severe upstream chronic appearing dilatation, this is also new from the prior.2.No evidence of sinus tract or fistula formation. No specific evidence of active large bowel inflammation.