74-year-old female with history of Crohn's disease on infliximab. Evaluate for mucosal disease. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion. Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Scattered bilateral subcentimeter renal T2 hyperintense foci without evidence of contrast enhancement, consistent with cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is a small duodenal diverticulum. Approximately 5 cm from the ileocecal valve, there is evidence of distal ileum wall thickening, edema, diffusion restriction, and enhancement spanning over approximately 18 cm. Proximal to this segment, there is an additional patulous segment measuring approximately 9 cm with evidence of wall thickening, submucosal edema, and enhancement consistent with mild acute on chronic inflammatory bowel disease. Colon is normal in appearance.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Fibroid uterus.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Approximately 5 cm from the ileocecal valve, there is evidence of distal ileum wall thickening, edema, diffusion restriction, and enhancement spanning over approximately 18 cm. Proximal to this segment, there is an additional patulous segment measuring approximately 9 cm with evidence of wall thickening, mild submucosal edema, and enhancement consistent with mild acute on chronic inflammatory bowel disease. The colon is normal in appearance.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Findings consistent with active inflammatory bowel disease involving long segments of the distal ileum as above.