Crohn's disease, eval for stricture/inflammation. RLQ pain, intermittent obstructive episodes. ABDOMEN:LIVER, BILIARY TRACT: Small left hepatic T2 hyperintense lesion likely representing a simple cyst.SPLEEN: Spleen is unremarkable.PANCREAS: No focal pancreatic lesion.ADRENAL GLANDS: No adrenal nodularity or thickening.KIDNEYS, URETERS: Kidneys enhance symmetrically without focal lesion. No hydronephrosis or hydroureter.RETROPERITONEUM, LYMPH NODES: No significant retroperitoneal lymphadenopathy.BOWEL, MESENTERY: Postsurgical changes of ileocecectomy are redemonstrated. There is mild diffuse dilation of the colon, appearing similar to that seen on prior studies. This is of uncertain etiology, as there is no evidence of stricturing or wall thickening. No abnormal enhancement or other features of active Crohn's disease.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Tampon noted in the vagina.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As above.BONES, SOFT TISSUES: Previously demonstrated granulation tract in the left anus/perineum is no longer evident.OTHER: No significant abnormality noted.
Mild diffuse colonic dilatation of unclear etiology without specific evidence of either acute or chronic inflammatory bowel disease.