TI thickening on colonoscopy, evaluate for enterovesicular fistula and disease activity. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Wall thickening and enhancement involving the distal 20 cm of the distal / terminal ileum (series 23, image 99). There is stricturing of the most proximal portion of this bowel segment with prestenotic dilatation of the small bowel (series 6, image 36). Fibrofatty proliferation surrounds these distal small bowel loops. No evidence of fistula or abscess. Suboptimal distention of proximal small bowel loops. Mildly prominent ileocolic lymph nodes. 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 inflammatory changes in the distal / terminal ileum as described above compatible with inflammatory bowel disease.2.No evidence of fistula or abscess.