Reason: 26yo male with Crohn's ileitis. Assess disease activity History: constipation ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Small non-specific T2 hyperintense splenic structure unchanged and likely benign.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: There is an approximately 7 cm long segment of abnormal asymmetric bowel wall thickening involving the terminal ileum (series 4, image 20) with saccular dilation on the antimesenteric border, increased mucosal enhancement, and mild upstream bowel dilation appearing similar to the prior examination and compatible with chronic inflammatory changes of Crohn's disease. No associated high-grade bowel obstruction. No definite additional areas of involved bowel. No associated ascites or evidence of fistulous connection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Chronic inflammatory changes involving the terminal ileum appearing similar to prior without definite evidence of additional bowel involvement or complication.