21-year-old female with Crohn's disease with abdominal pain and loose stools. Evaluate for active terminal ileitis. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions. 8 mm hemangioma in the right hepatic lobe noted (series 5/11).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: There is narrowing of the terminal ileum over a length of approximately 4 cm with mild-to-moderate bowel wall thickening and increased enhancement, most compatible with active inflammatory bowel disease. There is mild upstream dilation of ileum proximal to the terminal ileum. Superior to the terminal ileum, there is mild enhancing phlegmonous change within the mesenteric fat without evidence of abscess or obvious fistula. 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: See discussion above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings most compatible with active inflammatory bowel disease involving the terminal ileum with adjacent phlegmonous change without abscess or obvious fistula.