History of Crohn's disease involving the small bowel and colon. Presents with abdominal cramping. 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: Subcentimeter left renal superior pole probable benign cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The small bowel is adequately distended with oral contrast. The small bowel fold pattern is unremarkable.There is mild wall thickening postcontrast enhancement and wall thickening of the terminal ileum extending for approximately 6 cm with a intervening skip segment. More proximally there is approximately 8 cm of wall thickening enhancement and restricted diffusion of the distal ileum with pseudosacculation. This extends into the deep pelvis where there appears to be tethering of the adjacent small bowel and sigmoid colon with suspected enterocolonic fistulization in a clover-leaf configuration. There is associated mild inflammation of the segment of sigmoid colon where the fistula tract extends to.No evidence of fixed luminal narrowing or prestenotic/upstream dilatation to suggest a flow-limiting stricture.No free fluid or loculated fluid collection.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Predominantly active inflammation of the distal and terminal ileum with suspected enterocolonic fistulization. No significant free fluid or loculated fluid collection. 