31 years, Male, Reason: Crohn's disease. History of ileal disesease with abscess. Eval for abscess/phlegmon and disease activity History: previous abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, 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:Resolution of small bowel obstruction seen on the prior exam with mild residual dilatation. Resolution of right lower quadrant abscess seen previously. No strictures are evident.There is enhancement, diffusion restriction and wall thickening involving the cecum and terminal ileum which is similar to the prior exam and likely represents active Crohn's disease. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Acute on chronic inflammatory changes related to Crohn's disease involving the cecum and terminal ileum with resolution of abscesses and small bowel obstruction seen on the prior exam.