32-year-old male with history of Crohn's disease. 16 years ago, now presenting with new right scrotal pain ABDOMEN:LUNG BASES: There is and 19 x 13 mm air space opacity in the right lower lobe. There are smaller, round opacities in the right lower lobe around this larger opacity. Further evaluation of these lesions with chest CT is recommended. Linear atelectasis at the left lung base.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Left lower quadrant ileostomy. No evidence of bowel obstruction.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Subtle, linear increased density in the left ischiorectal fossa. This may represent inflammatory changes, however, a fistula tract cannot be excluded. Further evaluation with MRI in helpful.
Multiple airspace opacities in the right lower lobe, one of them measuring approximately 2 cm.. Given the young age of the patient, these may represent inflammatory/infectious changes, however, neoplasm cannot be excluded. Further evaluation with chest CT is recommended.Inflammatory changes in the pelvis, more prominent on the left side. MRI of the pelvis may be helpful for better characterization of these changes and to evaluate for a possible fistula.