38-year-old female with abdominal pain, fullness, gas, nausea and vomiting. 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: Mildly prominent right lower quadrant mesenteric lymph nodes are present.BOWEL, MESENTERY: Postsurgical changes of a ileocecectomy with end to end anastomosis in the right mid-lower quadrant.Redemonstrated is circumferential wall thickening and luminal narrowing of a segment of neoterminal ileum measuring 5.8 cm. There is mild upstream dilation of bowel measuring 3.2 cm in diameter. There is corresponding diffusion involving this segment of bowel. A short segment of small bowel wall thickening and luminal narrowing several centimeters upstream (series 10020, image 250) may be due to underdistention although this may be another focus of disease. There are discontinuous areas of the rectum and descending colonic wall thickening and abnormal enhancement without significant upstream dilatation, similar to the prior examination.No free fluid or loculated fluid collection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: T-shaped IUD device is again noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Active on chronic inflammation involving a 5.8 cm narrowed segment of the neoterminal ileum as described above. There is mild upstream dilation of small bowel measuring 3.2 cm in diameter reflecting mild flow-limiting stenosis.2.Additional short segment skip lesions of active inflammation involving the descending colon and rectum as described above. 3.No fluid collection or abscess is evident.