24-year-old male patient with history of ileocolonic Crohn's, colonoscopy performed and unable to bypass transverse colon. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. No intra or extrahepatic biliary ductal dilatation. No suspicious enhancing hepatic lesions.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: Again seen is loss of plical markings in the distal and terminal ileum, similar compared to prior examination. The descending colon distal to the splenic flexure and proximal to the sigmoid colon is now featureless, new compared to prior examination. There is no abnormal enhancement to suggest active inflammation. No evidence of stricturing or obstruction. No fistula or fluid collection seen.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Featureless distal and terminal ileum as well as descending colon are compatible with sequelae of Crohn's disease. No evidence of acute inflammation or stricture.