History of Crohn's disease. 3/16/2015 colonoscopy biopsies demonstrate mildly active Crohn's enteritis of the neoterminal ileum. History of ileocolonic resection with 130 cm of small bowel removed 12/12/2013. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 21 cm in craniocaudal dimension, the upper limits of normal. There is diffuse fatty infiltration. No focal lesion, biliary ductal dilatation or vascular abnormality. Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Stable 1.4 cm left adrenal nodule with imaging characteristics consistent with a lipid rich adenoma.KIDNEYS, URETERS: Simple left renal interpolar cyst.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There are postsurgical changes of an ileocecectomy and significant ileal resection with an overall paucity of small bowel.Oral contrast only mildly distends the jejunum. The residual ileum is adequately distended.Oral contrast is seen throughout the colon.The small bowel fold pattern is unremarkable.The residual small bowel is normal in caliber and wall thickness without abnormal wall enhancement or restricted diffusion. No adjacent inflammatory changes or fibrofatty proliferation.No fixed luminal narrowing or prestenotic/upstream dilatation to suggest a flow-limiting stricture.No specific evidence of sinus tract or fistula formation.No significant free fluid or a loculated fluid collection.No specific evidence of active colonic inflammation or flow-limiting stenosis. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Left adnexal simple cyst, within physiologic limits. Status post hysterectomy.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See discussion above. Trace free pelvic fluid. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
No specific findings of significant active small or large bowel inflammation, improved from the prior 3/10/15 MRI. No flow-limiting stricture.Fatty infiltration of the liver.