Female; 26 years old. Reason: Ileal Crohn's disease, history of abscess, elevated CRP repeat to evaluate distal ileal disease, length, and for abscess History: abdominal pain 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: Moderate circumferential wall thickening of the terminal ileum causing stenosis over a length of approximately 9 cm. Mild dilation of the ileal loop just proximal to the stenotic segment, but no evidence of bowel obstruction. Mild increased striated wall enhancement of this segment, most compatible with active inflammatory bowel disease. No pericolonic abscess or fistula.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Trace endometrial fluid, likely physiologic.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace pelvic free fluid, likely physiologic.
Findings most compatible with active terminal ileitis superimposed over chronic disease as detailed above.