Oral ulcers. Evaluate for small bowel disease. 11/13/2015: Colonoscopy biopsies demonstrated focal nonspecific chronic enteritis of the terminal ileum. 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: Note is made of a partially duplicated right collecting system with the upper and lower pole moiety ureters merging at the pelvic inlet.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The small bowel is adequately distended with oral contrast. The small bowel fold pattern is maintained.The terminal ileum is well seen. There is no abnormal small bowel wall thickening, enhancement or restricted diffusion. No perienteric inflammatory changes such as fibrofatty proliferation.The small bowel is normal in caliber. No fixed luminal narrowing or prestenotic/upstream dilatation to suggest a flow-limiting stricture.No evidence of sinus tract or fistula formation.No free fluid or loculated fluid collection.The colon is unremarkable.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 active perianal disease is identified.OTHER: No significant abnormality noted.
No findings to suggest active small bowel inflammation, fibrostenotic or fistulous disease. 