Reason: 39 y.o female with h/o Ulcerative colitis, but low iron and B12 studies. Please eval for any small bowel involvement that would suggest Crohn disease. ABDOMEN:LIVER, BILIARY TRACT: The liver demonstrates subtle, decreased signal on in-phase T1 images suggestive of iron deposition.SPLEEN: The spleen demonstrates decreased signal on T2-weighted images suggestive of iron deposition.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: A suprarenal IVC filter is noted. Postcontrast images demonstrate a large filling defect within the infrarenal IVC which appears to extend into the right common, internal, and external iliac veins compatible with nonobstructive venous thrombus. There is an additional tubular structure running along the IVC which also has an intraluminal flow void suspicious for additional thrombosis perhaps of the right gonadal vein.BOWEL, MESENTERY: The proximal small bowel is well distended with enteric contrast. The distal small bowel is not fully distended with enteric contrast which mildly limits evaluation. The small bowel is normal in caliber with a normal mucosal fold pattern and without abnormal enhancement. The terminal ileum is unremarkable. The descending and transverse colon are normal in caliber and morphology. Beginning at the splenic flexure, the descending and sigmoid colon are featureless without haustration. The descending colon, sigmoid colon, and rectum demonstrate mild to moderate increased mucosal enhancement and circumferential bowel wall thickening compatible with stated history of colitis. No significant pericolonic inflammatory changes or fluid collections are identified. No fistulae.BONES, SOFT TISSUES: There is diffuse, mildly decreased signal in the bone marrow suggestive of iron deposition.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: There is diffuse, mildly decreased signal in the bone marrow suggestive of iron deposition.OTHER: No significant abnormality noted.
1.Inflammation of the distal colon beginning at the splenic flexure through the rectum compatible with colitis.2.Normal-appearing small bowel without specific evidence of Crohn's disease.3.Nonocclusive venous thrombus within the infrarenal IVC and its tributaries as well as possibly in the right gonadal vein.4.Findings suggestive of secondary hemosiderosis.Findings discussed with LABAS, JENNIFER at 11:00 AM on 11/17/2015.