History of Crohn's disease. Presents with abdominal pain. 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: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The patient is status post ileocecectomy with end to end neoterminal ileum.At the level of the neoterminal ileum there is a 2.4 cm segment of circumferential wall thickening, luminal narrowing, or restricted diffusion and postcontrast enhancement. No significant prestenotic dilatation.No evidence of a flow-limiting stricture. No free fluid or loculated fluid collection.There are discontinuous areas of descending colonic wall thickening, luminal narrowing, restricted diffusion, arterial enhancement and pericolonic fat induration without significant upstream dilatation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted. T-shaped IUD device.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See discussion above. The rectum is suboptimally distended without definite inflammation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Active inflammation involving an approximately 2.4 cm narrowed segment of the neoterminal ileum. Several skip lesions of active inflammation involving the descending colon. No evidence of a flow-limiting stricture. No drainable fluid collection.