40 years, Female, Reason: 40yo female with Crohn's ileitis. Evaluate extent of involvement History: abdominal pain and diarrhea. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is a 2.6 x 2.6 lobulated lesion in in segment 4b which is isointense on T1, mildly hyperintense on T2 and demonstrates delayed enhancement and diffusion restriction.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: The distal terminal ileum is mildly patulous with mucosal hyperenhancement and fibrofatty proliferation but no significant edema, likely representing chronic inflammatory changes. No abscesses or fistulas are identified.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Tarlov cysts within the right sacral foramen
1.Findings of chronic inflammation of the terminal ileum.2.Enhancing hepatic lesion. Focal nodular hyperplasia is favored, however an adenoma may also be considered. If further characterization is required, evaluation with dedicated liver MRI including the hepatobiliary agent may be considered.