36-year-old male with history of Crohn's disease status post ileal resection and right hemicolectomy in the past and a recent stricturoplasty. Presents with diarrhea, multiple bowel movements, and excessive gas. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: There is mild diffuse dilation of the main pancreatic duct, as well as apparent mild atrophy of the pancreas, which is nonspecific but suggestive of chronic pancreatitis.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Again seen are postoperative changes of prior small bowel resections and partial right hemicolectomy. The anastomosis appears patent, without evidence of wall thickening, abnormal enhancement, or signal abnormality to suggest active inflammation. There is dilation of the distal small bowel up to 3.0 cm in diameter. The distal small bowel appears decompressed. There is an apparent transition point in the left lower quadrant. These findings may represent the sequela of adhesive disease. No focal fluid collections are identified to suggest abscess formation. No fistula is identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Dilated loops of small bowel in the left hemiabdomen with an apparent transition point in the left lower quadrant, suggestive of a partial small bowel obstruction, which may be related to adhesive disease.2.No evidence of active inflammatory bowel disease. No focal fluid collection to suggest abscess formation. No fistula formation is evident.