40-year-old female with intermittent diarrhea, right lower quadrant pain, and history of Crohn's ileitis. Evaluate small bowel. 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: As below.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Fibroid uterus with largest fibroid measuring up to 5.5 cm. Bilateral physiologic cysts are present.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Right lower quadrant fibrofatty proliferation and vascular engorgement. There is a long segment stricture involving the terminal ileum measuring approximately 8 cm. There is an additional long segment stricture of the distal ileum measuring approximately 9 cm; the smallest diameter involving this segment is approximately 8 mm. The segments fail to demonstrate peristalsis and demonstrate areas of mucosal enhancement.Trace free pelvic fluid, likely physiologic in etiology.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings consistent with acute on chronic Crohn's disease involving the distal ileum with long segment strictures as detailed above.2.Fibroid uterus with the largest fibroid measuring up to 5.5 cm.