25-year-old female with history of Crohn's status post ileocecectomy. Narrowing at anastomosis on recent colonoscopy. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic mass. Gallbladder sludge/stones.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: Post-surgical findings of ileocecectomy. Just proximal to the bowel anastomosis, there is approximately 5 cm of most distal terminal ileum mild wall thickening and hyperenhancement consistent with IBD related enteritis (series 20, image 90). Proximal to this segment, around 10 cm of mild wall hyperenhancement suggestive of quiescent disease.No fistulae or abscess identified. No bowel obstruction.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: No significant abnormality noted.OTHER: Trace free pelvic fluid, likely physiologic in a premenopausal woman.
Inflammatory bowel disease involving approximately 5 cm of most distal terminal ileum. Possible additional 10 cm of quiescent bowel disease immediately proximal to this segment.