Male 30 years old Reason: 30M with ileocolonic CD, mostly involving ileum, last scope 102014 with mild inflammation but with stenosis. No cross-sectional imaging. History: abdominal pain, gas 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: There is a 9 cm segment of abnormal terminal ileum with mural thickening, luminal narrowing and mucosal enhancement. Proximal to this there is 7 cm segment of similarly abnormal, bowel wall thickening and mucosal enhancement. There is submucosal fat deposition suggestive of chronic inflammation. These segments are separated by an approximately 2 cm segment of more normal appearing bowel. The abnormal segments demonstrate luminal narrowing which persists throughout the study. Findings are consistent with long segment fibrostenotic disease with mild acute on chronic inflammation. There is adjacent fibrofatty proliferation with minimal adjacent inflammatory changes. There is also some distortion of the cecal pole.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Segmental distal and terminal ileum fibrostenotic disease with mild associated acute on chronic inflammation.