37-year-old woman with history of Crohn's proctitis and flex sigmoidoscopy showing left colonic inflammation, now with worsening diarrhea. 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: No evidence of small bowel inflammation. Specifically, the terminal ileum appears normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: There is a simple 4.2 cm right ovarian cyst, physiologic in a patient of this age. IUD is noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is circumferential wall thickening involving a length of distal descending colon and sigmoid colon over a length of approximately 30 cm. This segment demonstrates loss of normal haustration, diffusion restriction, and mild enhancement (501/26-61). Of note, the rectal wall appears relatively normal.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Active inflammation in the distal descending colon and sigmoid with loss of haustration suggestive of prior inflammation. This is nonspecific but could represent inflammatory bowel disease or infectious colitis.2.Rectum relatively spared of inflammatory change.3.Terminal ileum normal in appearance.