Female; 52 years old. Reason: evaluate small bowel inflammation; patient with Crohn's disease, ileostomy, PBC overlap AIH History: diarrhea, weakness ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is minimally prominent with minimal pancreatic atrophy, similar to prior study.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Stable subcentimeter left renal cortical likely cyst is too small characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post total colectomy with a right lower quadrant and ileostomy. No abnormal bowel wall thickening or enhancement is evident to suggest active inflammation. Mild gastric and proximal duodenal distention, similar to prior study. The duodenal distention demonstrates a transition point at the mid transverse duodenum where the SMA courses anteriorly, raising the question of an SMA syndrome.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: See above.BONES, SOFT TISSUES: Few sacral Tarlov cysts are noted on the right side.OTHER: No significant abnormality noted.
1. No evidence of active bowel inflammation.2. Stable proximal duodenal distention with transition point at the mid transverse duodenum where the SMA courses anteriorly, raising the question of an SMA syndrome. Clinical correlation for symptoms of SMA syndrome is recommended.