32-year-old female patient with history of Crohn's disease with small bowel stricturing. Please assess disease extent and any complications. 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: Right renal cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is fibrofatty proliferation within the right lower quadrant. There is short segment wall thickening and stricturing of the terminal ileum over a length of approximately 4 cm which demonstrate progressive enhancement compatible with active disease. There is a 3.7 cm stricture of the mid transverse colon which corresponds to a region of stricturing identified on the prior CT.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No abnormal intra-abdominal fluid collection is identified.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace free fluid in the pelvis is likely physiologic in a premenopausal female.
1.Active inflammation of the terminal ileum with chronic stricturing compatible with acute on chronic disease.2.Chronic appearing stricture of the mid-transverse colon.