21-year-old woman with history of Crohn's disease, diarrhea, terminal ileal stricture. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. The gallbladder appears normal and there is no intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is nondilated and the parenchyma appears normal.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis. No focal renal lesion.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is an approximately 7 cm length of terminal ileum (1701/71-35) with circumferential bowel wall thickening and enhancement including some relatively spared areas. Within this area, the terminal 4 cm of ileum is dilated but no definite stricture is seen at the ileocecal valve/junction. Immediately proximal to this dilated terminal ileum, there is a 5 cm area of stricturing (1301/9) with additional proximal dilation.Mild fibrofatty proliferation is noted.The colon appears relatively normal.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: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace free pelvic fluid is likely physiologic.
Terminal ileum with areas of stricturing and dilation compatible with history of active Crohn's disease.