Male; 21 years old. Reason: 21 y.o. with a h/o Ulcerative Colitis, but question of Crohn's disease as found to have skip lesions. Please eval for ileal disease and evidence of Crohns. History: skip lesions, diarrhea 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: Pancolitis with moderate colonic wall thickening, edema, and increased enhancement extending from the cecum through the rectum. No skipped lesions. No small bowel involvement with sparing of the terminal ileum. This pattern is most consistent with the provided history of ulcerative colitis.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: As above.BONES, SOFT TISSUES: There is compression of the left common iliac vein by the overlying right common iliac artery in a configuration seen with May Thurner syndrome.OTHER: Mild pelvic ascites, likely reactive to the pancolitis.
1.Pancolitis as detailed above in a pattern most consistent with the provided history of ulcerative colitis.2.Compression of the left common iliac vein and a configuration seen with May Thurner syndrome, which can be asymptomatic, though clinical correlation for left lower extremity swelling or DVT is recommended.