History of Crohn's ileitis. Evaluate extent of disease. ABDOMEN:LIVER, BILIARY TRACT: Few punctate liver cysts. Liver is otherwise normal in morphology, size, and signal intensity. The patient is status post cholecystectomy. No biliary ductal dilatation.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 small bowel is relatively well distended with oral contrast. The terminal ileum is well seen. There is minimal enhancement and wall thickening of approximately 10 cm of the terminal ileum. Otherwise the ileum is normal within caliber, wall thickness and enhancement. No adjacent acute inflammatory changes. The remainder of the small bowel is normal in caliber, wall thickness and enhancement. Segments of the jejunum are suboptimally distended but otherwise unremarkable. The colon is also normal in appearance.No free or loculated fluid.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Minimal enhancement and wall thickening of 10 cm of the terminal ileum suggestive of a mild active ileitis. 