56 year old female patient with Crohn's disease diagnosed in 1988 when had a perianal fistula. Ileocecectomy in 1990 and stricturoplasty in 2006. Assess for active disease. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without evidence of acute cholecystitis. 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: Status post proximal ileocolectomy. There is an approximately 10 cm segment of mildly patulous ileum, which demonstrates wall thickening and mucosal hyperenhancement. This segment corresponds to an abnormal loop on the prior study MRI from 2011. The bowel distal to this segment appears strictured, which is also similar to the prior study. The neoterminal ileum distal to this strictured ileal segment appears distended. No evidence of a bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: A T2 hypointense lesion within the lower uterine body is compatible with a myometrial fibroid.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As described above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Chronic stricturing of the ileum in a region similar to prior studies with signs of active inflammation compatible with acute on chronic disease.