History of Crohn's ileocolitis with side to side ileocolonic anastomosis. Evaluate for active Crohn's disease. ABDOMEN:LIVER, BILIARY TRACT: The liver dome is not included on several of the image sequences. Cholelithiasis with a partially contracted gallbladder. No suspicious liver lesion. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Right renal cyst. Otherwise, unremarkable. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes from an ileocecectomy. Side to side ileocolonic anastomosis is well visualized.The small bowel is adequately distended with oral contrast.The small bowel fold pattern is maintained.There is a mild postcontrast short segment enhancement of the neoterminal ileum (series 17/6) with mild restricted diffusion.Otherwise there is no abnormal small bowel wall thickening, restricted diffusion or postcontrast enhancement. No perienteric inflammatory changes such as fibrofatty proliferation.No fixed luminal narrowing or associated prestenotic/upstream dilatation to suggest a flow-limiting stricture.No sinus tract or fistula formation.No free fluid or loculated fluid collection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See discussion above.BONES, SOFT TISSUES: No evidence of peri-anal disease on the limited sequences obtained.OTHER: No significant abnormality noted.
Mild postcontrast enhancement and restricted diffusion of the neoterminal ileum involving approximately 4 cm. No evidence of fibrostenotic or fistulous disease.