15-year-old male with chronic abdominal pain. On colonoscopy, the terminal ileum was nodular. Mild inflammation of colon and TI on pathology.EXAMINATION: MR enterography without and with IV contrast 11/19/2015, 1005. 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: Symmetric enhancement without hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY:Focally dilated loop of small bowel in the right lower quadrant involving a length of 12 cm immediately proximal to the ileocecal valve. The bowel measures 2.5 to 3 cm in diameter. There is mild diffuse enhancement and diffusion restriction of this segment of bowel with decreased peristalsis compared to adjacent small bowel. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Focally dilated loop of small bowel with mild enhancement and mildly decreased peristalsis involving a length of 12 cm immediately proximal to the ileocecal valve. In the correct clinical setting, these findings can represent inflammatory bowel disease.