62-year-old female with Crohn's disease. Assess stoma area of right lower quadrant ileostomy. Recently discharged from hospital with vomiting. Compared to recent CT abdomen and pelvis. Minimal distention of the small bowel loops limits the exam.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: Stable scarring or mild atrophy of the right kidney. No hydronephrosis. Small cyst of the left lower renal pole.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Status post proctocolectomy and right lower quadrant ileostomy. Stomach is distended with fluid as noted on the prior CT exam. No bowel obstruction. No bowel wall thickening or abnormal wall enhancement to suggest active disease. The previously described parastomal inflammatory change has resolved in the interval.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As above.BONES, SOFT TISSUES: Mild thoracolumbar dextroscoliosis.OTHER: No significant abnormality noted.
1. Interval improvement of the previously described parastomal inflammatory change.2. Minimal distention of the small bowel loops limits the evaluation for active Crohn's disease.3. Distended stomach could be related to outlet obstruction versus gastroparesis. No discrete mass is identified.