Male 37 years old Reason: 37 y.o. with a h/o ? jejunal inflammation possibly suggesting Crohn's, with recent episode of severe abd and epigastric pain, with constipation alternating with dark stools. History: abd pain, dark stools ABDOMEN:LIVER, BILIARY TRACT: There is normal in morphology. Imaged portions of the hepatic and portal veins are patent. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreas is normal in morphology. Portion of the main pancreatic duct drains via the minor papilla. This causes mild pancreatic ductal dilatation measuring up to 4 mm.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Multiple small mesenteric lymph nodes.BOWEL, MESENTERY: Stomach is well distended and unremarkable. Upper abdominal jejunal loops have a thickened wall with submucosal edema. There is also some thickening of the distal ileum which is suboptimally evaluated due to poor distention.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small amount of upper abdominal ascites.
1.Abnormal MRI enterography with bowel wall thickening involving the jejunum and some mild inflammation involving the distal ileum. Imaging findings are compatible with an enteritis.