57-year-old woman with history of Roux-en-Y gastric bypass, evaluate for bowel obstruction. ABDOMEN:LIVER, BILIARY TRACT: There are subcentimeter hepatic cysts, otherwise the liver is normal. There is gallbladder sludge, but no evidence of cholecystitis or biliary ductal dilatation.SPLEEN: The spleen is normal.PANCREAS: The pancreas is normal.ADRENAL GLANDS: The adrenal glands are normal.KIDNEYS, URETERS: The kidneys are normal and enhance symmetrically.RETROPERITONEUM, LYMPH NODES: No significant lymphadenopathy noted.BOWEL, MESENTERY: The patient is status post Roux-en-Y bypass and the gastrojejunal and jejunojejunal anastomoses appear intact. There is no evidence of abnormal bowel dilatation or obstruction.BONES, SOFT TISSUES: Postoperative changes are noted in the anterior abdominal soft tissues.OTHER: No significant abnormality noted.
No bowel abnormality identified, specifically no abnormal bowel dilatation or obstruction. Please note that evaluation would be more ideal using CT, where the gastrojejunal and jejunojejunal postsurgical anastomoses are also more identifiable.