Reason: History of ulcerative colitis, with ilal involvement, R/O Crohn's disease of small bowel. History: abdominal pain ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Subcentimeter splenic cyst is nonspecific.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: There is loss of haustration and hyperenhancement within the distal sigmoid and proximal rectum (14/1755, 1768, 1780) suggesting active inflammation. There are areas of narrowing, however no stricture is evident at multiple sequential exams. No abscesses or fistulas. There is also hyperenhancement and bowel wall thickening involving the terminal ileum measuring approximately 2.3 cm in length (7/23), also likely representing active inflammation.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 aboveBONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Enhancing regions of bowel involving the rectosigmoid and terminal ileum suggest active inflammation. The colon between these two regions is normal-appearing. Given this pattern of involvement, Crohn's disease may be suspected.