11-year-old female with history of Crohn's disease, evaluate for small bowel disease.EXAMINATION: MR enterography without and with IV contrast 5/27/2015 ABDOMEN:LIVER, BILIARY TRACT: The liver is within normal limits.SPLEEN: The spleen appears normal.PANCREAS: No significant pancreatic abnormality.ADRENAL GLANDS: The adrenal glands are normal in appearance.KIDNEYS, URETERS: No hydronephrosis or hydroureter.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy or hemorrhage.BOWEL, MESENTERY:There is an approximately 12 cm segment of distal ileum, adjacent to the terminal ileum, which demonstrates wall thickening, abnormal increased enhancement, increased T2 signal intensity and mild adjacent edema. No small bowel obstruction or free air.The appendix is within normal limits.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: The bladder is mildly distended, and appears normal.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Segmental bowel wall thickening/edema affects the distal ileum and TI, consistent with patient's given history of Crohn's disease. Additional mild wall thickening and increased enhancement suggesting sigmoid inflammation.BONES, SOFT TISSUES: There is a small linear area of enhancement within the left perineum likely to represent a perianal fistula.OTHER: No significant abnormality noted
1. Distal ileum and sigmoid colon bowel wall thickening consistent with given history of Crohn's disease. 2. Likely left perianal fistula as described above.