33-year-old female with metastases. 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 no evidence of obstruction. There is abnormal enhancement and corresponding restricted diffusion involving a medium length segment of colon which is persistently decompressed. The terminal ileum is aperistaltic and dilated with fecalization present. There is no discrete narrowing or abnormal enhancement of the ileocecal valve. Underlying incompetence is not excluded.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Abnormal enhancement and corresponding restricted diffusion of a persistently decompressed sigmoid and descending colon may reflect acute on chronic inflammation.2.Aperistaltic and dilated terminal ileum with fecalization present. There is no discrete narrowing or abnormal enhancement of the ileocecal valve. Underlying incompetence is not excluded.3.Gastric distention with debris is present without obvious active disease to explain this finding.