Female; 54 years old. Reason: Crohn's Disease with elevated fecal calprotectin History: Active Symptoms of Crohn's Diease with known ileal/duodenal strictures 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: No significant abnormality noted.BOWEL, MESENTERY: Long segment stricturing with skipped areas of mild focal dilation in the distal and terminal ileum measuring approximately 40-50 cm in length, similar in appearance to prior study. Mild bowel wall thickening and mucosal hyperenhancement is also similar prior study and suggestive of mild active disease. Stable fibrofatty perforation and engorgement of the vasa rectal. No abscess or fistula is seen.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: L4 vertebral body hemangioma is unchanged.OTHER: No significant abnormality noted.
Mild active inflammatory bowel disease on background chronic stricturing of the distal and terminal ileum, similar to prior exam.