65 year old female with Crohn's disease status post ileocecectomy. Presents with abdominal pain. 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: There is periaortic lymphadenopathy the the signal which measures 1.3 x 1.0 cm (27; series 5).BOWEL, MESENTERY: Note is made of diffuse wall thickening of a long segment of multiple distal ileal loops in the right lower quadrant measuring approximately 13 cm in length, with associated enhancement on postcontrast sequences, consistent with active fibro-stenotic disease. No evidence of fistula formation or abscess formation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Note is made of diffuse wall thickening of a long segment of multiple distal ileal loops in the right lower quadrant measuring approximately 13 cm in length, with associated enhancement on postcontrast sequences, consistent with active fibro-stenotic disease. No evidence of fistula formation or abscess formation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Long segment of bowel wall thickening and enhancement involving distal ileal loops, consistent with active fibro-stenotic disease. No evidence of fistula formation or abscess formation.