Reason: Small bowel CD S/P SBR and ileocectomy, re assess disease History: diarrhea 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: There are 2 regions of small bowel hyperenhancement. A region of small bowel in the left upper quadrant, likely represents jejunal loops and measures approximately 10 to 15 cm. These bowel loops are collapsed and did not change in orientation throughout the exam, likely representing some degree of chronic stenosis.An additional region of collapsed hyperenhancing bowel loops in the right lower quadrant, likely representing ileum, measures approximately 10 cm. These regions also do not change throughout the exam and are likely stenotic.No evidence of obstruction. There are postsurgical changes of ileocecectomy with a neoterminal ileum in the right upper quadrant. The terminal ileum itself is unremarkable. There is significant fibrofatty perforation.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
There are 2 segments of hyperenhancing small bowel loops which are mildly stenotic, further described above, likely representing acute on chronic disease. No evidence of obstruction.