35-year-old man with history of small bowel Crohn's status post resection and stricturoplasty in December 2014, now with poor appetite. ABDOMEN:LIVER, BILIARY TRACT: The liver is otherwise unremarkable. Multiple hepatic cysts are identified and unchanged, the largest of which measures 15 mm in segment IVb. The gallbladder and biliary tract are normal.SPLEEN: The spleen is normal.PANCREAS: The pancreas is normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: There is a 35 mm left upper pole renal cyst, otherwise the kidneys are unremarkable.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: Patient is status post small bowel resection with corresponding decreased bowel volume. In the right lower abdomen (series 5, image 29) there is a persistent area of narrowing at the site of previously seen stricture, however the proximal bowel is not dilated. This finding may be secondary to underdistention or a nonflow-limiting focal chronic stricture.Proximal to this area of stricturing, there is an approximately 13 cm length of small bowel located in the left mid abdomen with concentric thickening. This loop of bowel is not T2 hyperintense and does not enhance significantly, apparent thickening appears to improve on other subsequent sequences, thus underdistention is favored. Correlation with patient's clinical history and/or point tenderness if any suggested. Fibrofatty proliferation in the mesentery is noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: Bladder is normal.LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings suggestive of chronic inflammation of the small bowel as above without evidence of acute disease. No evidence of bowel obstruction.