19-year-old male with Crohn's disease. Evaluate active disease involving the terminal ileum. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No evidence of hydroureteronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There has been significant interval improvement in the marked inflammatory changes including thickening and irregularity of the terminal ileum. There is residual thickening of the terminal ileum measuring approximately 1.5 cm with evidence of diffusion restriction and mild contrast enhancement at this location.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There has been significant interval improvement in the marked inflammatory changes including thickening and irregularity of the terminal ileum. There is residual thickening of the terminal ileum measuring approximately 1.5 cm with evidence of diffusion restriction and mild contrast enhancement at this location.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Significant interval improvement in the marked inflammatory changes involving the terminal ileum with evidence of residual terminal ileum active inflammatory disease.