Crohn's disease, concern for small bowel involvement, abdominal pain, diarrhea, nausea and vomiting and fevers LIVER, BILIARY TRACT: Mild intrahepatic and extrahepatic biliary duct dilatation. Diffuse hepatic steatosis.SPLEEN: No significant abnormality noted.PANCREAS: Intrinsic T1 pancreatic parenchymal signal decreased. Pancreatic ductal dilatation increased from prior MR imaging, now measures 8 mm, previously measured 3 mm. Peripancreatic fluid collections visualized, largest seen in gastrohepatic location measuring approximate 5.5 x 3.4 cm, mildly complex, internal septations seen, restricted diffusion suggested suspicious for superimposed infection. Thrombosed splenic vein, left-sided varix formation.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.BOWEL, MESENTERY: Focally dilated left-sided small bowel loop in left lower quadrant measuring up to 4.5 cm on image 15 series 1701 suspicious for skip area with a site of adjacent focal narrowing or skip lesion seen on 25 series 1201. Additional alternating mild small bowel prominence and narrowing seen, however to lesser degree. 4.3 cm segment of collapsed distal transverse colon appears to be persistently underdistended throughout exam and when compared to prior MRI and September 2015 CT imaging, this region was also underdistended, suspicious for narrowing secondary to chronic inflammation. Areas of submucosal fat deposition involving colon also seen.UTERUS, ADNEXA: Intrauterine susceptibility artifact presumably related to IUD.BLADDER: No significant abnormality noted.BONES, SOFT TISSUES: Sternotomy sequela.OTHER: No significant abnormality noted.
1. Focally dilated left-sided small bowel loop in left lower quadrant measuring up to 4.5 cm with site of adjacent focal narrowing. Segmentally collapsed distal transverse colon appears to be persistently underdistended throughout exam and when compared to prior MRI and September 2015 CT imaging, this region was also underdistended, suspicious for narrowing secondary to chronic inflammation. Additional alternating mild small bowel prominence and narrowing seen, however to lesser degree.2. Seen on this nondedicated exam are findings consistent with chronic pancreatitis. Peripancreatic fluid collections described above suspicious for pseudocyst formation, superimposed infection a consideration. Increased from prior MRI pancreatic duct and extrahepatic biliary ductal dilatation. While majority Correlation with patient's clinical history and serum lipase and amylase levels also recommended. Please note that these findings would be better evaluated with dedicated contrast-enhanced CT or MRCP.3. Diffuse hepatic steatosis. 