History of Crohn's disease status post ileostomy takedown and ileocecal resection. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity without a focal lesion. No intra or extrahepatic ductal dilatation. Partially contracted gallbladder.SPLEEN: The spleen is normal in morphology size and signal intensity.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 stomach appears distended to the second portion of the duodenum without a discrete obstructive mass; similar appearance to prior.Post-surgical changes from ileocecectomy with good visualization of the neo-terminal ileum. The small bowel is adequately distended with oral contrast.The small bowel fold pattern is maintained.The small bowel is normal in appearance without bowel wall thickening, abnormal signal intensity/enhancement, restricted diffusion or perienteric inflammatory changes.No fixed luminal narrowing or associated prestenotic/upstream dilatation to suggest fibrostenotic disease.No evidence of sinus tract or fistula formation.No free or loculated fluid collection. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted. Nabothian cyst formation. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: See BOWEL, MESENTERY section above. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.No specific evidence of active bowel inflammation, fibrostenotic disease or fistula formation.2.Distension of the stomach without an obstructive masslesion may reflect slowed gastric emptying. Correlation with patient's clinical history recommended and if indicated, further assessment with dedicated nuclear medicine gastric emptying study may be performed.