Ulcerated/chronic proctitis, recurrent abdominal pain on thiopurines with nausea and vomiting in background of UC, r/o pancreatitis, if possible, assess small bowel for evidence of IBD Evaluation suboptimal without IV contrast.ABDOMEN:LIVER, BILIARY TRACT: Mild intrahepatic biliary duct dilatation and minimal contour irregularity. For example, focal left hepatic duct dilatation (image 21 series 9), concerning for underlying stricture near confluence. Mild prominence of common hepatic duct, measuring up to 5 mm, with distal tapering seen. Findings may also be due in part to patient's postcholecystectomy state. No focus of restricted diffusion seen to suggest underlying lesion. Tiny T2 hyperintense hepatic foci, likely benign. SPLEEN: T2 hyperintense focus in superior aspect of spleen, measuring 1.5 x 1.2 cm on image 30 series 9, likely a cyst or hemangioma.PANCREAS: Decreased intrinsic T1 signal of pancreas. No evidence of peripancreatic edema. Nondilated pancreatic duct.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Apparent circumferential narrowing of rectosigmoid colon on image 23 series 17 more likely related to collapsed state as improved distensibility seen on other sequences, for example, series 23. No evidence of submucosal fat deposition to suggest chronic inflammation. Visualized terminal ileum unremarkable. No significant fibrofatty proliferation seen.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Nonvisualization of uterus, presumably related to prior hysterectomy.BLADDER: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1. Evaluation suboptimal without IV contrast.2. Mild intrahepatic biliary duct dilatation and minimal contour irregularity, focal left hepatic duct dilatation, concerning for underlying stricture near confluence in setting of sclerosing cholangitis. Mild prominence of common hepatic duct, measuring up to 5 mm, with distal tapering seen. Findings may also be due in part to patient's postcholecystectomy state. No focus of restricted diffusion seen to suggest underlying lesion.3. Decreased intrinsic T1 signal of pancreas, suggestive of chronic pancreatitis. Nondilated pancreatic duct. No evidence of acute pancreatitis.4. Apparent circumferential narrowing of rectosigmoid colon more likely related to collapsed state as improved distensibility seen on other sequences. No evidence of submucosal fat deposition to suggest chronic inflammation. Please note that assessment not optimal secondary to absence of IV contrast.