Male 28 years old Reason: Assess for active Ileal Crohn's History: abdominal pain, hx of ileal-colonic Crohn's ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent.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 retroperitoneal lymphadenopathy.BOWEL, MESENTERY: There is bowel wall thickening with hyperenhancement of the mucosa involving the terminal ileum. The segment of bowel involved measures at least 12 cm. There is a skip segment of bowel in the distal ileum with similar imaging features in the right lower abdomen measuring at least 11cm. There is mild narrowing of this bowel segment in its distal aspect causing proximal bowel dilatation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Active disease involving the terminal ileum and a segment of distal ileum. There is an area of narrowing involving the ileum causing proximal bowel distention.