Inflammatory Bowel Disease (Crohn's) (CT).

Clinical impression: Diffuse recurrent abdominal pain. 

MDCT of the abdomen and pelvis was performed before and after intravenous contrast administration. The bowel was labeled with oral contrast.

• The terminal ileum, iliocecal region shows mild wall thickening, with surrounding subtle fat stranding, and associated small mesenteric LNs, there is free passage of bowel contrast with no obstruction.
• The liver is normal is size. It shows normal texture. No evidence of any focal or diffuse lesion is seen in the liver.
• The gall bladder and biliary tree are normal.
• Portal vein is normal.
• The spleen, pancreas and adrenals are normal.
• The kidneys are normal in size. No evidence of any focal mass lesions. No evidence of dilatation of collecting systems. No evidence of calculi.
• The urinary bladder is well distended and shows no obvious mass lesion in it. 
• The uterus & adnexae are unremarkable.
• No evidence of ascitis is seen.

IMPRESSION: 

Picture is suggestive of early inflammatory bowel disease ( likely Crohn’s) as described, for clinical correlation. 





Reported By : DR MOHAMED MOHIE ELDIN                           DR.MOHAMED SOBHY
 CONSULTANT RADIOLOGY                             Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin