51-year-old female with Crohn's disease of the small bowel. Please evaluate for obstruction and active disease. History of stricturing and fistula formation. ABDOMEN:LIVER, BILIARY TRACT: Hepatic steatosis, without focal lesions or biliary dilation. SPLEEN: No significant abnormality noted.PANCREAS: Note is made of pancreas divisum. Otherwise, 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: Again seen is tethering of bowel loops to the anterior abdominal wall in the region of the ileocecal valve in the right lower abdominal quadrant, similar to 2013. No definite fistula is evident. The terminal ileum is mildly distended, however, no stricturing is noted in the right lower quadrant or elsewhere. There is fibrofatty proliferation of the right lower quadrant mesentery. No abnormal bowel wall enhancement is noted.BONES, SOFT TISSUES: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Fibroid uterus.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Again seen is tethering of bowel loops to the anterior abdominal wall in the region of the ileocecal valve in the right lower abdominal quadrant, similar to 2013. No definite fistula is evident. The terminal ileum is mildly distended, however, no stricturing is noted in the right lower quadrant or elsewhere. There is fibrofatty proliferation of the right lower quadrant mesentery. No abnormal bowel wall enhancement is noted.BONES, SOFT TISSUES: No significant abnormality noted.
Chronic tethering of bowel loops to the anterior abdominal wall in the right lower abdominal quadrant, similar to 2013. No abnormal bowel wall enhancement, fistulization, or stricturing is identified.