43-year-old female with history of Crohn's. Abdominal pain and loose stools. 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: There is wall thickening involving approximately 13 cm of the terminal ileum. Hyperenhancement of this affected segment (sparing the distal 4 cm of the terminal ileum), suggestion of fibrofatty proliferation in the adjacent mesentery, and prominent right lower quadrant mesenteric lymph nodes suggest active inflammatory disease. There is no significant proximal dilatation to suggest stricturing. No evidence of fistula or sinus tract. No angulated bowel loops to suggest an adhesive disease.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings compatible with active, acute Crohn's disease involving the distal 13 cm of the terminal ileum.