19 year-old female. Abdominal pain, increasing frequency of stool. Ongoing symptoms with weight loss. 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: Multiple prominent mesenteric lymph nodes, likely reactive.BOWEL, MESENTERY: Approximately a 20 cm long segment of most distal terminal ileum up to the IC valve demonstrates active inflammation with wall thickening, hyperenhancement, and hyperemia. No fistulae, abscess, or bowel obstruction.Artifact from gastrostomy tube limits evaluation of adjacent anatomy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No perianal fistula or abscess.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Trace free pelvic fluid, likely physiologic.
Active inflammatory bowel disease involving approximately 20 cm of the most distal terminal ileum.