Reason: evaluate for small bowel inflammation or narrowing History: abdominal bloating ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis, including a stone within the cystic duct. No evidence of cholecystitis. 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: Mild circumferential bowel wall thickening in the rectum with associated diffusion restriction. No evidence of obstruction. Small bowel appears normal. The terminal ileum is unremarkable.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mild circumferential rectal wall thickening suggests a proctitis of uncertain etiology, neoplasm not entirely excluded, no upstream colonic dilatation seen to suggest obstruction. Recommend correlation with colonoscopy.2.Cholelithiasis without evidence of cholecystitis.