Right lower quadrant pain, assess small bowel ABDOMEN:LIVER, BILIARY TRACT: No focal parenchymal lesion in the visualized liver. The hepatic and portal veins are patent. No biliary ductal dilation.SPLEEN: No significant abnormality in the visualized spleen.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: See below.BOWEL, MESENTERY: Extensive inflammation in the right lower quadrant best seen on series 11, image 1520 with avid enhancement and marked bowel wall thickening involving the distal 7 cm of terminal ileum, ileocecal valve, and cecum / proximal ascending colon. The cecum and terminal ileum are adhesed. The affected terminal ileum is significantly narrowed with mild prestenotic distention of a proximal small bowel loop measuring up to 2.3 cm (series 13, image 56). Marked regional mesenteric lymphadenopathy and inflammatory changes are noted. Underlying fistula can not be excluded. No evidence of abscess. Angulated loops of bowel in the abdomen are compatible with adhesive disease.BONES, SOFT TISSUES: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
Marked right lower quadrant inflammatory changes with involvement of the terminal ileum, and cecum / proximal ascending colon as described compatible with active inflammatory bowel disease. No evidence of abscess. Underlying fistula can not be excluded. 