41-year-old female with loose stools and joint pain. History of stricturing ileal Crohn's disease on Humira and MTX. 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: Mild tethering of the small bowel to adjacent sigmoid colon is unchanged and compatible with chronic inflammatory bowel disease (coronal series 10 image 22). The terminal/distal ileum is denuded without evidence for stricture, wall thickening, or abnormal enhancement. Fibrofatty proliferation most evident in the right lower quadrant. No wall thickening or abnormal enhancement to suggest active disease. No evidence for fistula or abscess formation. No bowel obstruction.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.
1.Chronic findings of Crohn's disease as described above. No evidence for acute inflammation.