18-year-old male with history of Crohn's disease with increasing right lower quadrant pain and tenderness. ABDOMEN:Please note that the most superior portion of the abdomen was the out of the field-of-view, which included small portions of the liver, spleen, and fundus of the stomach.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: Stomach, jejenum and proximal ileum are well distended and seen as normal. Colon appears normal. Mild bowel wall thickening with increased enhancement of the terminal ileum most compatible with active inflammatory bowel disease -- see discussion in Pelvis section below. No free peritoneal fluid.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Mild bowel wall thickening with increased enhancement of the terminal ileum spanning a length of approximately 5 to 8 cm, most compatible with active inflammatory bowel disease. Peristalsis is preserved. No evidence of fistula or abscess. Mild fatty proliferation is seen in the right lower quadrant. Colon through the rectum appears normal. No free peritoneal fluid or other abnormalities seen. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Mild active inflammatory bowel disease affecting the terminal ileum. No evidence of fistula or abscess.