19-year-old male with Crohn's disease and previously described active TI disease. Evaluate for progression of Crohn's involvement since the last exam. 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: Persistent wall thickening of the terminal ileum with early and persistent mural enhancement extending for approximately 9 cm. On the T2 series, there is mild submucosal edema. Mild restricted diffusion of the terminal ileum is also noted. The length of involvement has decreased compared to the prior exam. There is a short segment focal narrowing of the distal terminal ileum (axial series 7 image 16). No obvious fistulization. No drainable fluid collection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Persistent thickening and enhancement of the terminal ileum suggestive of acute on chronic Crohn's disease. The length of involvement has decreased compared to the 5/12/2014 MRI exam.