18-year-old female with history of Crohn's disease with right lower quadrant abdominal pain and fullness. 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: There has been interval decrease in extent of inflammation and thickening of the terminal ileum with residual thickening of the terminal ileum. There are linear enhancing tract extending between the distal ileum and cecum which raises suspicion a fistulous network in the region of prior inflammation. No fluid collection or abscess is present.There is no evidence of small bowel obstruction.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Bilateral cystic adnexal lesions are likely physiologic follicles. Arcuate uterus.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Interval decrease in extent of small bowel inflammation and thickening of the terminal ileum. Residual thickening of a shorter segment of terminal ileum is present. No evidence of small bowel obstruction.2.Linear enhancing tract extending between the distal ileum and cecum which raises suspicion a fistulous network in the region of prior inflammation. No fluid collection or abscess is present.