51-year-old female patient with history of Crohn's disease status post multiple small bowel resections presents with obstructive symptoms. ABDOMEN:LIVER, BILIARY TRACT: Layering gallbladder stones and sludge noted in the gallbladder. No intra or extra hepatic biliary ductal dilatation. No liver lesions.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: There is an approximately 8 cm segment of ileum with acute inflammatory changes in the midabdomen (series 18 image 80) and fibrofatty proliferation. There is mild small bowel dilatation proximal to this segment.There is also distal circumferential rectal wall inflammation and thickening.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Minor contrast extravasation as described above.2.Long segment inflammatory changes the ileum in the midabdomen with mild proximal dilatation, compatible with mild obstruction.3.Distal rectal wall inflammatory changes.