Reason: eval for complications of Ulcerative Colitis History: bloody stools, abdominal pain, feverEXAMINATION: MR enterography without and with IV contrast 4/23/15 ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic mass is identified. No gallbladder wall thickening. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: kidneys and uretersRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Smooth, tubular appearance of descending colon, sigmoid colon, and rectum with contrast enhancement and diffusion restriction, compatible with active inflammation. Mesocolic fat stranding.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Multiple physiologic follicles seen in bilateral adnexa. BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Smooth, tubular appearance of descending colon, sigmoid colon, and rectum with contrast enhancement and diffusion restriction, compatible with active inflammation. Mesocolic fat stranding.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Small pelvic free fluid.
Active inflammation of the descending, sigmoid colon, and rectum compatible ulcerative colitis.