47-year-old female with history of ulcerative colitis presents with periumbilical pain. ABDOMEN:LUNG BASES: The lung bases are clear and the heart size is normal.LIVER, BILIARY TRACT: No significant abnormality noted. Multiple stable hepatic lesions have been previously evaluated and are most compatible with adenomas and segments 6 and 7. No new hepatic lesions were found.SPLEEN: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedPANCREAS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: There are numerous borderline enlarged mesenteric lymph nodes.BOWEL, MESENTERY: The stomach is moderately distended and the patient was unable to tolerate the full dose of oral contrast. This may be due to delayed gastric emptying. The stomach had normal appearance on the previous CT and MRI examinations.There is diffuse small bowel wall thickening. No evidence of obstruction was found. There is diffuse thickening of the colon wall involving the descending and sigmoid colon. The colon is only minimally distended, so accurate evaluation of wall thickening is difficult.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted PELVIS:UTERUS, ADNEXAE: The uterus is markedly enlarged and it contains multiple heterogeneously enhancing masses. The myomatous uterus measures approximately 7.1 x 10.2 cm at axial image 120/166.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: There is sigmoid and rectal diffuse wall thickening which may be due to ulcerative colitis flare.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Diffuse small bowel wall thickening and diffuse descending, sigmoid and and rectal wall thickening. Findings are compatible with inflammatory bowel disease. The bowel wall thickening is new since the recent MRI examination. Multiple additional findings, as described above.