37-year-old man with history of ileal Crohn's disease on therapy, now with abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: There is a subcentimeter cyst in the right lobe of the liver, otherwise the liver and gallbladder are normal.SPLEEN: The spleen is normal.PANCREAS: The pancreas appears normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: Kidneys are normal.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The patient is status post small bowel resection with reanastomosis and preservation of the ileocecal valve. There is concentric wall thickening, enhancement, and mild diffusion restriction of the distal ileum. Additionally, approximately 7 cm of the terminal ileum is narrowed and there is submucosal fat deposition. Fibrofatty proliferation is noted in the right lower quadrant. Proximal bowel loops are dilated to approximately 3.8 cm (series 4, image 2) and the walls are mildly thickened with slight enhancement.Additionally, there is noncontiguous submucosal fat deposition in the proximal descending and mid descending colon.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings of chronic inflammation and narrowing involving approximately 7 cm of terminal ileum, with evidence of new upstream distal ileal dilatation.2.Mild active inflammation of dilated ileal loops immediately proximal to the area of narrowing.3.Additional, noncontiguous areas of chronic inflammation involving the descending colon.