9 year old male with abdominal pain and history of Crohn's disease.EXAMINATION: MR enterography without and with IV contrast 2/6/2015 ABDOMEN:LIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is no evidence of hydronephrosis or hydroureter. There is no evidence of nephrolithiasis or ureterolithiasis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The distal ileum and terminal ileum again appears featureless with long segments of mild dilatation as well as narrowings consistent with sequelae of inflammation. Additionally, there is mild mucosal hyperenhancement suggesting an acute on chronic component. There is abnormal peristalsis of the terminal ileum as well as associated fibrofatty proliferation. Overall these findings and the extent of the affected bowel appear similar to the prior examination.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: The distal ileum and terminal ileum again appears featureless with long segments of mild dilatation as well as narrowings consistent with sequelae of inflammation. Additionally, there is mild mucosal hyperenhancement suggesting an acute on chronic component. There is abnormal peristalsis of the terminal ileum as well as associated fibrofatty proliferation. Overall these findings and the extent of the affected bowel appear similar to the prior examination.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Acute on chronic inflammation of the distal and terminal ileum, with the length of affected bowel appearing similar to the previous examination.