Female 28 years old with Crohn's ileitis seen on MRE 12/2015. Now on therapy for a year, evaluate for improvement. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size, smooth in contour and without focal lesion. No intra or extrahepatic biliary ductal dilatation. The hepatic vasculature is patent.SPLEEN: No significant abnormality noted.PANCREAS: Pancreatic duct is nondilated. The parenchyma enhances homogeneously.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Best seen on coronal images is persistent, but improved, short segment mild mucosal enhancement of the terminal ilium (series 13, image 54) extending over a distance of 1.4 cm, unchanged in length when compared to the coronal images on prior exam. Also noted is unchanged associated luminal narrowing but no significant upstream dilatation to suggest flow-limiting obstruction at this level. No additional areas of abnormal enhancement or stricturing are seen. There is no abscess or fistulous tract within the abdomen or pelvis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Right adnexal rim-enhancing lesion is favored to represent a corpus luteum.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As seen on the previous exam in the 9:00 position is an intersphincteric fistulous tract extending posteriorly to the right gluteal cleft with no evidence of associated abscess.BONES, SOFT TISSUES: Lumbar levoscoliosis.OTHER: No significant abnormality noted.
1.Persistent but improved mild short segment terminal ileal inflammatory changes with mild associated luminal narrowing, no upstream bowel dilatation seen to suggest flow-limiting stricture.2.Unchanged intersphincteric fistulous tract extending to the right gluteal cleft.