30-year-old female with right lower quadrant pain with prior history of Crohn's disease and resection. Evaluate for Crohn's disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.CALCIFICATIONS IN ABDOMINAL AORTA AND ITS BRANCHES: NoneBOWEL, MESENTERY: There is proximal cecal and neoterminal ileum wall thickening with associated submucosal edema and enhancement involving approximately 4 cm the terminal ileum. Colon is normal in appearance.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: As above.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Findings consistent with acute on chronic inflammatory bowel disease involving the terminal ileum and the proximal cecum.