History of Crohn's disease presents with abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: Hepatic steatosis. No focal lesion biliary ductal dilatation or vascular abnormality. Normally distended gallbladder.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: Demonstrated again is abnormal T2 weighted hypointense mild circumferential wall thickening of approximately 13 cm of the terminal ileum which is mildly narrowed throughout the exam with associated mild early arterial enhancement and restricted diffusion. There is minimal upstream dilatation.No significant peri-enteric inflammatory changes.The remainder of the small bowel is relatively well distended with oral contrast with a normal small bowel fold pattern and caliber without evidence of active inflammation or flow limiting stricture.No free fluid or loculated fluid collection.No evidence of a sinus tract/fistula formation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Tampon noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No free fluid or loculated fluid collection in the pelvis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Predominantly chronic appearing inflammation of approximately 13 cm of the terminal ileum with mild superimposed active inflammation, appearing slightly improved from prior. Mild upstream dilatation but no significant flow-limiting stricture or sinus/fistulous disease.