History of recurrent small bowel Crohn's disease and ileo-colonic anastomosis stenosis. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: 6 mm cystic lesion in the pancreatic body (series 4 image 16), compatible with a side branch IPMN. The pancreatic duct is normal in caliber. Pancreatic parenchyma is otherwise unremarkable.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Several bilateral subcentimeter simple cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is a propensity of mesenteric fat without specific evidence of acute inflammation. This may reflect chronic fibrofatty perforation, or postsurgical changes.There is a mild circumferential thickening of a short segment of terminal ileum measuring approximately 3.1 cm in length measuring very low signal intensity suggesting chronic fibrosis (series 8 images 19 through 21). This segment of bowel demonstrates mild restricted diffusion (series 9 image 87) and postcontrast enhancement (series 14 image 86; series 11 image 330) compatible with acute inflammation. The immediate proximal small bowel is mildly distended up to 3.4 cm (series 8 image 18). More proximally the small bowel is normal in caliber and wall thickness.No fluid collections or findings to suggest fistula formation.The colon is normal in appearance.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
Short segment of suspected acute on chronic inflammatory disease involving approximately 3 cm of the terminal ileum with mild distention of the small bowel into the proximal to this region. No additional sites of disease.