47-year-old woman with history of ulcerative colitis, preoperative examination for colectomy and J-pouch. Please rule out small bowel involvement. ABDOMEN:LIVER, BILIARY TRACT: Loss of parenchymal signal on opposed phase imaging suggests mild steatosis. No focal liver lesions are identified. The gallbladder appears normal. There is no intrahepatic or extrahepatic biliary duct dilatation.SPLEEN: The spleen is atrophic. There is a 31 x 26 mm, mildly T2 hyperintense, mildly enhancing lesion in the body of the spleen (series 4, image 12).PANCREAS: The pancreas is normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: The kidneys are normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The small bowel including the terminal ileum (series 6, image 22) is unremarkable. The colon is distended with large amount stool, however there is no evidence of active inflammation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Bilateral ovarian follicles are noted. There is mild cystic change within the junctional zone of the uterus, the borders of which are not well defined. A left nabothian cyst is noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: There is circumferential submucosal fat deposition in the mid rectum. Additionally, there is an approximately 8 cm segment of rectum (series 13, image 25) which is narrow in caliber and does not change throughout the examination. The proximal bowel is mildly distended, however stool is seen passing distal to this segment.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings of chronic inflammation with stricture in the rectum.2.Distended, stool-filled proximal colon which may indicate element of partial obstruction.3.No evidence of small bowel inflammation, normal terminal ileum.4.Atrophic spleen with well-circumscribed lesion, mildly T2 hyperintense with minimal enhancement, may be a benign lesion such as a hamartoma (lesion does not fulfill criteria for a typical hemangioma) but is nonspecific. Attention to this lesion is warranted on follow-up imaging to assess for interval stability.5.Findings suggestive of uterine adenomyomatosis.