History of Crohn's disease status post ileocecectomy. Presents with diarrhea an 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: The oral contrast adequately distends the small bowel and has reached the level of the sigmoid colon.The small bowel fold pattern is unremarkable.There are postsurgical changes in the right lower quadrant compatible with the stated history of an ileocecectomy.Approximately 10 cm of the neoterminal ileum demonstrates striated circumferential wall thickening with mild T2 hyperintensity, restricted diffusion, contrast enhancement, and minimal surrounding fat haziness/induration and mesenteric fluid compatible with active inflammation. The lumen is persistently moderately narrowed with mild upstream dilatation of the small bowel up to 2.7 cm suggesting underlying fibro-stenotic disease as well. More proximally there are portions of the small bowel which appear collapsed which demonstrate normal caliber on later imaging. No additional site of active inflammation or fibro-stenotic disease of the small bowel is noted. There is an 8.5 cm segment of transverse colon which demonstrates fixed luminal narrowing and mild restricted diffusion with delayed contrast enhancement and surrounding mesenteric haziness suggesting a fibro-stenotic stricture with superimposed active inflammation. There is mild prestenotic/upstream dilatation of the transverse colon up to 5.2 cm. No discrete sinus tract or fistula formation.No significant free fluid or loculated fluid collection.BONES, SOFT TISSUES: Note is made of a butterfly lower thoracic vertebra, a normal variant. 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: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings of active small bowel inflammation superimposed on fibro-stenotic disease involving approximately 10 cm of the neoterminal ileum and 8.5 cm of the transverse colon with mild upstream/pre-stenotic dilatation. 2.No sinus tract or fistula formation. No drainable fluid collection. 