History of Crohn's disease. Persistent right lower quadrant pain since small bowel resection. Patient feels mass in right lower quadrant. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable cysts of the left mid/lower renal pole.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post ileocecectomy. At the distal most ileum at the anastomosis and other adjacent ileal loops, there is mild wall thickening, enhancement, and a luminal narrowing that appears to persistent on all sequences. No flow limiting stricture is identified. Mild tethering is also suspected in the right lower quadrant as seen in the coronal plane (series 14 image 59). Persistent fibrofatty infiltration and mild mesenteric lymphadenopathy are again noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Status post ileocecectomy. Evidence of chronic disease at the level of the anastomosis and mild acute on chronic inflammation suggested involving adjacent ileal loops. No flow limiting stricture. 