Diarrhea, abdominal pain, evaluate enteritis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Wall enhancement involving approximately 8 to 10 cm of the distal/terminal ileum with associated stricturing and surrounding fibrofatty proliferation in the right lower quadrant (series 2601, image 103 and 91). The ileocecal valve and cecum are normal in appearance. Mild wall thickening of the rectosigmoid with associated prominence of the vasa recta and regional lymph nodes suggestive of acute colitis (series 3001, image 18). No evidence of abscess or fistula. BONES, SOFT TISSUES: 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 above.BONES, SOFT TISSUES: No significant abnormality noted.
Acute on chronic inflammatory changes in the terminal ileum and acute colitis affecting the rectosigmoid. Findings are suggestive of inflammatory bowel disease.