Crohn disease, evaluate areas of inflammation ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: 1.1 x 0.8 cm cystic lesion in the region of the pancreatic head (series 4, image 20). No associated pancreatic ductal dilation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Wall enhancement and thickening involving approximately 10 cm of the terminal ileum. The more proximal aspect of this bowel segment demonstrates focal stricturing over a 3 cm course (series 3, image 17). Angulation of several small bowel loops in the lower abdomen and pelvis compatible with adhesions. The cecum and appendix are normal in appearance. No evidence of fistula. Mildly prominent ileocolic lymph nodes are noted.BONES, SOFT TISSUES: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
1.Acute on chronic inflammation of the terminal ileum with focal stricturing as described above compatible with inflammatory bowel disease.2.Cystic lesion in the region of the pancreatic head with associated pancreatic ductal dilation. While this finding may represent an ampullary or duodenal diverticulum, follow-up MRI / MRCP with attention to the pancreas is recommended in 6 months.