27-year-old female with stomach discomfort. Evaluate for terminal ileitis. 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: As belowBONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Lateral adnexal T2 hyperintense foci consistent with cysts measuring up to 2 cm on the left; findings consistent with physiologic cysts.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is thickening and hyperenhancement of 7 cm of the terminal ileum. Colon is normal in appearance.At 9:00 position, there is a intersphincteric fistula which extends posteriorly to the right gluteal cleft without evidence of an abscess.BONES, SOFT TISSUES: Lumbar levoscoliosis. Nonspecific T2 hyperintensity of the right ischium. OTHER: No significant abnormality noted.
1.Findings consistent with acute inflammatory changes involving the terminal ileum.2.Intersphincteric 9:00 fistula extending to the right gluteal cleft.3.Nonspecific T2 hyperintense ischial focus.4.Lumbar levoscoliosis.