Diarrhea. History of Crohn's disease. Evaluate for active bowel inflammation. History of ileocecectomy in 2013. 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: Postsurgical changes from an ileocecectomy. Overall there is a paucity of distal small bowel loops related to prior ileal resection.The residual small bowel is well-distended with oral contrast. There are segments of the jejunum which appear poorly distended but are otherwise unremarkable, likely secondary to peristalsis. The neoterminal ileum is clearly identified. The bowel is normal in caliber and wall thickness. There is no abnormal postcontrast enhancement or restricted diffusion. No significant fibrofatty proliferation or mesenteric lymphadenopathy. No fixed luminal narrowing or prestenotic/upstream dilatation. No sinus tract or fistula formation. No significant free fluid or loculated fluid collection.The distal colon is collapsed. There is mild circumferential wall thickening of the distal colon with restricted diffusion and mild hyperenhancement compatible with a non-specific colitis. Large hiatal hernia. BONES, SOFT TISSUES: Small pleural effusions. Patchy marrow signal intensity is not significantly changed. OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See discussion above.BONES, SOFT TISSUES: Patchy marrow signal intensity is not significantly changed.OTHER: No significant abnormality noted.
1.Paucity of small bowel related to previous resection without evidence of active small bowel inflammation or flow limiting stricture. 2.Nonspecific rectosigmoid wall thickening, enhancement and restricted diffusion compatible with a nonspecific colitis which may be infectious/inflammatory or less likely ischemic in etiology.