43-year-old female with history of Crohn's disease status post total colectomy with ongoing neurological manifestations without bone formation with question of mesenteric vasculitis. ABDOMEN:MRA: The celiac and SMA arteries are widely patent without significant steno-occlusive disease. No evidence of vasculitis. 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: Status post proctocolectomy end ileostomy in the right lower quadrant. A parastomal hernia is again noted without evidence of obstruction. Interval resolution of peristomal edema and increased enhancement. Incomplete distention of proximal small bowel. There are loops of dilated ileum in the right abdomen that subsequently collapse on later sequences favoring peristalsis (series 18, image 20; series 22, 23). No abnormal areas of enhancement. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Probable nabothian cysts.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Small volume pelvic ascites.
1.Interval resolution of inflammatory changes involving end ileostomy. No abnormal areas of bowel enhancement. Persistent parastomal hernia.2.No evidence of mesenteric artery stenosis or vasculitis. 