History of jejunal thickening seen on CT scan. Evaluate for evidence of celiac versus Crohn's disease. Biopsy proven Celiac disease. ABDOMEN:LIVER, BILIARY TRACT: Contracted gallbladder. The liver is normal in morphology, size, signal intensity and enhancement without a focal lesion biliary ductal dilatation or vascular abnormality.SPLEEN: The spleen is normal in morphology and size without a focal lesion.PANCREAS: The pancreas is normal in morphology. Normal pancreatic duct caliber. No focal lesion.ADRENAL GLANDS: There is a subcentimeter right adrenal medial limb nonenhancing cyst, benign. Otherwise the adrenal glands are unremarkable.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The stomach is significantly distended with oral contrast throughout the examination suggesting delayed gastric emptying. The small bowel is suboptimally distended with oral contrast. Given this limitation the following observations are made. The small bowel fold pattern is abnormal with decreased number of jejunal folds compatible with the stated history of celiac disease. There is no wall thickening, postcontrast enhancement, restricted diffusion or other specific findings of active small bowel inflammation. No fixed stricture or prestenotic/upstream dilatation to suggest a focal stricture. No fibrofatty proliferation. No sinus or fistula tract formation. No free or loculated fluid collection.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: See discussion above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Decreased number of jejunal folds compatible with stated history of celiac disease.2.No evidence of active small bowel inflammation.3.Significantly distended stomach throughout the course of the examination suggestive of delayed gastric emptying.