History of Crohn's disease status post ileocecectomy with chronic obstructive symptoms, evaluate neoterminal ileum for inflammation or stricturing. ABDOMEN:LIVER, BILIARY TRACT: Liver demonstrates normal parenchymal signal intensity. There is a subcentimeter cyst in the posterior aspect of the right hepatic lobe (series 5, image 35). No suspicious hepatic lesions are identified.SPLEEN: No significant abnormality noted. A splenule is present.PANCREAS: Pancreas is mildly atrophic with fatty atrophy most notable in the pancreatic head.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Several mildly prominent mesenteric lymph nodes are present.BOWEL, MESENTERY: Postsurgical changes of ileocecectomy. The bowel is nondilated without evidence of high-grade obstruction. There is a small right anterior abdominal wall hernia (series 8, image 47) which contains bowel without evidence of associated obstruction. There is a stricture at or near the ileocolonic anastomosis (series 9, image 27 and series 18, image 42) which demonstrates enhancement (series 17, image 20), measures approximately 2.7 cm in length (series 18, image 42), and narrows down to approximately 9 mm in caliber. No additional definite sites of disease are identified in the small bowel or colon. No intra-abdominal fluid collections are identified.BONES, SOFT TISSUES: Degenerative changes affect the spine.OTHER: No significant abnormality noted.
Stricture at or near the ileocolonic anastomosis with associated enhancement suggestive of active inflammatory disease. No associated high-grade bowel obstruction.