28 year-old female with history of Crohn's colitis complaining of abdominal pain and vomiting. Rule out Crohn's flare, rule out obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis without cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Multiple lymph nodes scattered throughout the mesentery, likely reactive.BOWEL, MESENTERY: Long segment thickening extending from the neoterminal ileum measuring approximately 7 cm may reflect chronic/resolving Crohn's disease. No bowel obstruction as clinically questioned.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Diffuse, patchy low-attenuation areas likely represents any infiltration secondary to previous inflammatory disease. No bowel obstruction as clinically questioned.BONES, SOFT TISSUES: Enhancing focus within the perirectal soft tissue extends superiorly to the levator ani terminating at the intersphincteric level may represent an abscess/fistula which appears grossly unchanged when compared to the previous MRI, 5/2005. This area of enhancement measures 9 x 27 mm, (image 141, series 3).OTHER: No significant abnormality noted
1. Long segment bowel wall thickening of the neoterminal ileum measuring approximately 7 cm may reflect chronic/resolving Crohn's disease, appears to have increased in comparison with prior study. 2. No bowel obstruction as clinically questioned.3. Enhancing focus within the perirectal soft tissue represents an abscess/fistula which appears grossly stable when compared to prior MRI, 5/2005.