History of Crohn's disease with colonic stricture. Assess disease. ABDOMEN:LIVER, BILIARY TRACT: Normal morphology, size, signal intensity and enhancement without a focal lesion biliary ductal dilatation or vascular abnormality.Cholelithiasis without cholecystitis.SPLEEN: The spleen is normal in size without a focal lesion.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 negative oral contrast. The small bowel fold pattern is maintained.No significant small bowel dilatation, wall thickening, abnormal T2-weighted signal intensity, enhancement or restricted diffusion. The terminal ileum is well seen without evidence of active inflammation, improved from prior.No evidence of fibro-stenotic or sinus-fistulous small bowel disease. There appear to be two 2 cm tandem short-segments of moderate stricturing of the hepatic flexure with associated restricted diffusion the site of previously described disease, improved from prior. No significant upstream dilatation. Otherwise the proximal colon is normal in appearance.The distal sigmoid and rectum is nondistended with apparent mild circumferential mural thickening, hyperenhancement and restricted diffusion. No free fluid or loculated fluid collection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See discussion above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Short segment nonflow limiting stricture with mild active inflammation affecting two 2 cm segments of the splenic flexure, improved from prior.2.Persistently collapsed distal sigmoid and rectum with possible mild-moderate active inflammation. 3.No active inflammation of the small bowel is identified. No significant free fluid or loculated fluid collection.