Reason: History of Ulcerative colitis, however several colonoscopy reports suggest Crohn's disease. Assess for evidence of small bowel Crohn's disease. History: nausea and vomiting 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: Except for short segment of proximal most jejunum, the small bowel is relatively well distended and is well evaluated. The small bowel is normal in caliber without evidence of abnormal bowel wall thickening, signal, or enhancement. No small bowel strictures are identified. The terminal ileum appears within normal limits. The appendix is normal in caliber. The ascending and transverse colon demonstrate normal haustration and caliber without abnormal wall thickening, signal, or enhancement.There is loss of haustration, mild circumferential wall thickening, mildly increased enhancement, mild restricted diffusion, and increased mesenteric vascularity involving the descending colon and rectum compatible with subacute/chronic inflammatory changes.There is no associated evidence of fistulization.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: The uterus is surgically absent. The ovaries are not well visualized and may also be surgically absent. There is a cystic structure in the left hemipelvis to the left of the bladder with reference measurements below which has a thin septation but otherwise simple appearance and could be related to prior surgery (lymphocele) or an adnexal cyst. There are no adjacent significant inflammatory changes. Scattered foci of susceptibility artifact within the pelvis may be related to prior surgery.BLADDER: 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.INDEX LESION MEASUREMENTS (Current exam date/time: 9/22/2016 13:00:00)LEFT PELVIC CYST: 4.5 x 4.1 cm (Image 30, Series 7).
1.Findings compatible with subacute/chronic colitis contiguously involving the rectum and descending colon.2.No specific evidence of inflammatory bowel disease within the small bowel.3.Left pelvic cyst which has a benign appearance and could be related to prior surgery or an adnexal cyst. Comparison with prior examinations could confirm stability.