Crohn's disease with stricturing involving the ileum and right colon 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: Dilated left upper pole calyx, unchanged.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Wall enhancement, thickening, and stenosis involving the distal 7 cm of terminal ileum (series 16, image 53). There is enhancement and wall thickening involving a 3 cm segment of the ascending colon with associated stricturing (series 16, image 49). There are foci of nodular enhancement in the cecum and ileocecal valve most consistent with inflammatory polyps, unchanged. Additional nodular enhancement in the right lower quadrant (series 16, image 60) may represent a focus of granulation tissue. No evidence of abscess.BONES, SOFT TISSUES: No significant abnormality noted.PELVIS: PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.
Acute on chronic inflammatory changes involving the terminal ileum and ascending colon similar to the prior exam.