14-year-old female patient with history of perianal abscess and anal fissures. Evaluate for Crohn's disease.EXAMINATION: MR enterography without and with IV contrast 10/20/2015, 15:36 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: No significant abnormality noted.BOWEL, MESENTERY:There is approximately 8 cm of terminal ileum that is thickened and demonstrates mild increased enhancement. There is also decreased peristalsis of this segment of bowel. No stenosis or fistula formation is seen. No significant T2 signal hyperintensity is present. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Inflammatory changes in the perianal soft tissues are partially imaged and better seen on prior MRI of the pelvis.BONES, SOFT TISSUES: There is a small amount of subcutaneous edema in the posterior soft tissues at the level of the pelvis.OTHER: There is a small amount of free fluid in the pelvis.
1.8 cm segment of chronic inflammatory changes in the terminal ileum without stenosis.2.Inflammatory changes in the perianal soft tissues are partially imaged and better seen on MRI of the pelvis.