15-year-old male, evaluate for IBD or bowel dilationEXAMINATION: MR enterography without and with IV contrast 2/25/15 ABDOMEN:LIVER, BILIARY TRACT: Small T2 bright focus in the posterior right hepatic lobe without associated enhancement is nonspecific and may in part be artifactual. No biliary ductal dilatation.SPLEEN: No focal lesion.PANCREAS: Normal morphology and enhancement.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: The kidneys enhance symmetrically without hydronephrosis.RETROPERITONEUM, LYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: There is wall thickening and enhancement of the ileocecal valve and terminal ileum extending approximately 6-8 cm proximal to the ileocecal valve with mildly dilated distal ileum just proximal to the inflamed terminal ileum. Mild wall thickening of the proximal cecum is also noted, which was seen on the prior CT and is improved from the CT dated 1/11/15. No evidence of fistula or abscess. Inflammatory changes in the adjacent mesentery are again noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: Moderately distended and otherwise normal.LYMPH NODES: No lymphadenopathy.BOWEL, MESENTERY: There is wall thickening and enhancement of the ileocecal valve and terminal ileum extending approximately 6-8 cm proximal to the ileocecal valve with mildly dilated distal ileum just proximal to the inflamed terminal ileum. Mild wall thickening of the proximal cecum is also noted, which was seen on the prior CT and is improved from the CT dated 1/11/15. No evidence of fistula or abscess. Inflammatory changes in the adjacent mesentery are again noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Wall thickening and enhancement of the terminal ileum, ileocecal valve, and proximal cecum as described above without abscess or fistula.