MRI results are back... thoughts?

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Joined
Feb 28, 2008
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Findings:

There is bowel wall thickening and mucosal hyperenhancement involving the jejunum in the left upper quadrant. There is congestion of the adjacent vasa recta. There is more focal bowel wall thickening and stenosis of a loop of jejunum in the left upper quadrant (series 21, image 26). This is similar in appearance to the prior CT. There is fecalization of the terminal ileum with impaired motility of the terminal ileum. The remainder of the small bowel is normal in appearance. The colon is normal in appearance. There is no abnormally dilated bowel.

Impression:

1. Diffuse bowel wall thickening and mucosal hyperenhancement involving the jejunum in the left upper quadrant, consistent with the patient's history of Crohn's disease. There is focal bowel wall thickening and stenosis of the loop of jejunum in the left upper quadrant, suspicious for a stricture. There is no abscess or fistula visualized. 2. Findings suggestive of impaired motility of the terminal ileum.
 

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