Provided history of Crohn's disease. Evaluate extent of disease. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity. No suspicious focal lesion. No biliary ductal dilatation or vascular abnormality. Normal gallbladder.SPLEEN: The spleen is normal in morphology and size without a focal lesion.PANCREAS: Normal in morphology, signal intensity and enhancement. Normal pancreatic duct caliber.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is abnormal post-contrast enhancement of approximately 8 mm of the terminal ileum. Approximately 2 cm proximal to the terminal ileum, there is mild circumferential wall thickening and narrowing of the ileum measuring approximately 3.5 cm in length with restricted diffusion and arterial enhancement. Immediately proximal to this region is a 2 cm region of similar bowel abnormality. The more proximal small bowel is minimally prominent. There are no fluid collections. There is fibrofatty proliferation in the right lower quadrant.Small hiatal hernia. Diverticulosis.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: Several right lower quadrant prominent lymph nodes are nonspecific but likely reactive.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Active inflammation involving the terminal and distal ileum as described.