28-year-old female with nausea and abdominal pain with new diagnosis of Crohn's disease. Reevaluate phlegmon seen on CT scan from February. 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: Mild narrowing of the terminal ileum over approximately a 5 cm length with mild wall thickening and increased enhancement, most compatible with active inflammatory bowel disease. Minimal inflammatory changes within the mesenteric fat in the right lower quadrant, significantly decreased since prior exam. No evidence of abscess or fistula.BONES, SOFT TISSUES: No significant abnormality noted.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: As above.BONES, SOFT TISSUES: Subcentimeter ovoid T2 hyperintense lesion in the left perineal region is most likely due to a Bartholin gland cyst (series 7/38).OTHER: No significant abnormality noted.
1. Mild active inflammatory bowel disease affecting the terminal ileum.2. Inflammatory changes in the right lower quadrant have significantly decreased since prior exam. No evidence of abscess or fistula.