24 years, Male, Reason: eval crohn's activity and phlegmon History: rlq pain, crohn's disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Dilated left upper pole calix is unchangedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Enhancement and bowel wall thickening involving the terminal ileum and a short segment of the ascending colon has decreased since the prior exam. There is persistent stricturing of the descending colon as well as narrowing at the terminal ileum. Prestenotic dilatation of the distal ileum and cecum is unchanged.Phlegmon adjacent to the ileocecal valve seen on the prior study has resolved. There are a few luminal nodular enhancing foci at the ileocecal valve which may represent inflammatory polyps. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See above.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Acute on chronic inflammatory changes involving the terminal ileum and ascending colon has decreased slightly since the prior exam. There is persistent stricturing of the ascending colon and narrowing at the terminal ileum.2.Resolution of phlegmon seen on the prior exam.