Male 27 years old Reason: Assess for resolution of previous intra-abdominal infections History: hx of Crohn's disease and intra-abdominal infections in 2015 ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent.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 retroperitoneal lymphadenopathy.BOWEL, MESENTERY: There is a 10 cm segment of bowel wall thickening, hyperenhancement and wall edema involving the terminal ileum including involving the ileocecal valve. No bowel obstruction at this level.There are 2 other areas of mild bowel wall thickening involving the mid ileum with mild bowel hyperenhancement which is suggestive of active disease the segments measure 6cm and 7 cm. These areas is suboptimally evaluated due to suboptimal bowel distention.No intra-abdominal abscess is evident. Suboptimal evaluation of the jejunum due to under distention.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Please see aboveBONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings of active disease involving the 10 cm segment of terminal ileum.2.Other areas of mild bowel wall hyperenhancement involving the mid ileum h are equivocal for active disease given the segments are underdistended.