Evaluate for small bowel narrowing and/or colitis. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity. No suspicious liver lesion biliary ductal dilatation or vascular abnormality. Several T2-weighted hyperintensities, probable cysts.Partially distended gallbladder without evidence of inflammation. Trace perihepatic ascites.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 small bowel is well-distended with oral contrast. The terminal ileum is well seen and is normal in appearance.There are multiple short segments of jejunum which appear mildly thickened and hyperenhancing which may be in part due to underdistention and/or reactive inflammatory changes. There is mild distension without a transition point suggestive of an ileus. Moderate circumferential wall thickening and edema of the descending colon to the level of the rectosigmoid compatible with a non-specific colitis. The anorectum is relatively spared.BONES, SOFT TISSUES: Nonspecific mottled bone marrow signal intensity.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Bilateral peri-adnexal heterogeneous peripherally enhancing collections are significantly decreased in size from the CT dated 5/9/2016, currently measuring 2.2 x 2.2 cm on the right and 2.2 x 1.7 cm on the left.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Nonspecific mottled bone marrow signal intensity.OTHER: No significant abnormality noted.
1.Persistent moderate descending through sigmoid colon edema, enhancement and wall thickening compatible with a non-specific colitis which could be infectious, inflammatory (including Crohn's colitis) or ischemic in etiology, appearing similar to the prior.2.Interval (compared to initial outside hospital CT 05/09/16) decrease in size of the bilateral complex peri-adnexal fluid collections in the pelvis, compatible with drained abscesses.3.Probable mild reactive ileus and jejunitis. No evidence of bowel obstruction.