History of Crohn's disease with obstructive symptoms. Evaluate for stricture. 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: The small bowel is adequately distended with oral contrast. The small bowel fold pattern is unremarkable. There is abnormal moderate circumferential wall thickening, post-contrast enhancement and restricted diffusion involving approximately 16 cm of the distal through terminal ileum. There may be a mild stricture at the terminal ileum without significant proximal/upstream dilatation. There is an approximately 2 cm fixed stricture of this loop as the distal ileum extends into the pelvis (series 4, image 21) with mild proximal/upstream dilatation. In the right lower quadrant there is a 3 cm fixed mild stricture with mild prestenotic dilatation involving the distal small bowel (series 5 image 23). This segment also demonstrates mild wall thickening and postcontrast enhancement.An additional 5 cm fixed mild stricture with mild prestenotic/upstream dilatation (series 5/19) is noted of the distal small bowel with associated mild wall thickening and postcontrast enhancement.There are no significant adjacent mesenteric inflammatory changes. No free or loculated fluid collection.The large bowel is collapsed and otherwise unremarkable.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: The small bowel is adequately distended with oral contrast. The small bowel fold pattern is unremarkable. There is abnormal moderate circumferential wall thickening, post-contrast enhancement and restricted diffusion involving approximately 16 cm of the distal through terminal ileum. There may be a mild stricture at the terminal ileum without significant proximal/upstream dilatation. There is an approximately 2 cm fixed stricture of this loop as the distal ileum extends into the pelvis (series 4, image 21) with mild proximal/upstream dilatation. In the right lower quadrant there is a 3 cm fixed mild stricture with mild prestenotic dilatation involving the distal small bowel (series 5 image 23). This segment also demonstrates mild wall thickening and postcontrast enhancement.An additional 5 cm fixed mild stricture with mild prestenotic/upstream dilatation (series 5/19) is noted of the distal small bowel with associated mild wall thickening and postcontrast enhancement.There are no significant adjacent mesenteric inflammatory changes. No free or loculated fluid collection.The large bowel is collapsed and otherwise unremarkable.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Acute small bowel inflammation involving approximately 16 cm of distal terminal ileum with a possible non-obstructive stricture at the terminal ileum and a mild stricture of the distal ileum with mild prestenotic/upstream dilatation. 2.Two additional mild strictures measuring approximately 3 and 5 cm with active inflammation representing skip lesions involving the distal small bowel with mild prestenotic/upstream dilatation.