Reason: Evaluation/staging of Crohn's disease, known colonic Crohn's disease and eval small bowel History: abdominal pain, diarrhea 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: Mild apparent hyperenhancement of the ileocecal valve only seen on one sequence and likely due to decompression. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Bowel wall thickening and hyperenhancement involving a long segment of the sigmoid colon compatible with active inflammatory bowel disease. Mild upstream constipation may be related to mechanical obstruction. 