26-year-old female with stricture and small bowel Crohn's disease now with subacute nausea and vomiting. ABDOMEN: The study is limited due to lack of IV contrast.LIVER, BILIARY TRACT: Status post cholecystectomy.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: Scattered mesenteric and porta hepatis lymph nodes.BOWEL, MESENTERY: There is a long segment of mid terminal ileum wall thickening with mild proximal small bowel dilation. There is a short segment of intervening normal appearing bowel in between the 15 long segment affected distal ileum The colon is fluid distended with air-fluid levels. There is corresponding restricted diffusion involving this segment reflecting active disease.BONES, SOFT TISSUES: No significant abnormality noted.
1.Probable active on chronic disease involving the neoterminal ileum. No evidence of abscess. There is mild proximal dilation of small bowel without high-grade obstruction.