Reason: Changes in Crohn's involvement since last exam. History: Crohn's disease, wall thickening and enhancement of TI in 2010, study to assess evidence of resolution or progression 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: See below.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: There is mild mucosal hyperenhancement involving the distal 5 cm terminal ileum without significant wall thickening. No fistulas or abscesses. No evidence of obstruction. No fluid collections.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of free fluid in the pelvis, likely physiologic.
Mild hyperenhancement suggestive of a prior terminal ileitis. No evidence of active disease.