History of Crohn's ileitis. Evaluate extent of disease. 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: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.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: The bowel is adequately distended with oral contrast. Approximately 8 cm of the distal and terminal ileum demonstrates two fixed strictures of T2-weighted hypointense circumferential wall thickening with intervening skipped segments of small bowel demonstrating normal wall thickening and mild pseudosacculation (series 5, image 19 through 21). Along the dorsal aspect of this segment of bowel (series 5 image 21) the focal outpouching may represent pseudosacculation and less likely tethered adjacent small bowel. There is no significant associated postcontrast enhancement, adjacent mesenteric inflammatory changes or restricted diffusion to suggest acute inflammation. The proximal small bowel is normal in caliber, wall thickness and enhancement. No free or loculated fluid collection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Suspected chronic fibro-stenotic disease affecting approximately 8 cm of the distal and terminal ileum with focal strictures and intervening pseudosacculated spared bowel segments without evidence of acute inflammation. 