So I just got lab results on my hospital's website, thought it was the one checking for the J. C. Virus for the Tysabri, but apparently it's scope biopsy results lol. It's dated 5/27/11, and from my old doctor's office, and my scope at the new office wasn't til July, so I guess they examined old scope biopsies sent over? I'm kinda confused lol my old scope was 5/09. But here they are, not sure what a lot of it means haha, so any explanation would be good 
SURGICAL PATHOLOGY REPORT
* Consult Report *
Date Taken: 5/27/2011
Specimen(s) and/or Material(s) Received
Slides and report received
Diagnosis
A. DUODENAL BIOPSIES:
- NO PATHOLOGIC DIAGNOSIS.
B. GASTRIC ANTRAL BIOPSY:
- SINGLE FOCUS OF INFLAMMATION (SEE MICROSCOPIC).
C. GASTROESOPHAGEAL JUNCTION AT 41 CM. BIOPSIES:
- SQUAMOUS MUCOSA WITH NO PATHOLOGIC DIAGNOSIS.
- CARDIA WITH NON-SPECIFIC CHRONIC INFLAMMATION.
D. ESOPHAGEAL BIOPSY:
- NO PATHOLOGIC DIAGNOSIS.
E. ASCENDING COLON, BIOPSIES:
- GRANULOMATOUS INFLAMMATION.
- MINIMAL ACTIVE COLITIS.
F. DESCENDING COLON BIOPSIES:
- GRANULOMATOUS INFLAMMATION.
- MILD ACTIVE COLITIS.
G. RECTAL BIOPSIES:
- MILD ACTIVE INFLAMMATION.
Clinical History
This is an 18 year old male with Crohn's disease.
Gross Description
Received sixteen slides and report labeled S09-3079.
Microscopic Description
A. The duodenal biopsies demonstrate good villous architecture. There is no
active inflammation.
B. The gastric antral biopsy has a small number of lymphocytes in the lamina
propria. One focus, only seen on one level, also has a few neutrophils. No
organisms with the morphology of Helicobacter are seen on the provided special
stains.
C. This specimen consists of one piece of squamous mucosa, and one piece with
both squamous and glandular mucosa. The squamous mucosa is not inflamed. The
glandular mucosa has lymphocytes and plasma cells in the lamina propria. No
neutrophils or giant cells are seen.
D. There is no inflammation in the esophageal biopsy.
E. The biopsies from the ascending colon have a diffuse increase in chronic
inflammatory cells in the lamina propria. There are also a small number of
well-formed granulomas. There are scattered neutrophils, and rare eosinophils.
F. There are two descending colon biopsies. One has the same appearance as
ascending colon, with a few more neutrophils. The other biopsy has patchy
inflammation.
G. One crypt abscess is seen in the rectal biopsies, and there are scattered
neutrophils in the lamina propria.
What I'd like to know most about is the crypt abscess, what that is? Visually no one has seen perianal fistulae/abscesses, just fissures. However, an MRI showed a fistula with possible abscess, but they still only saw the fissure. It's all so confusing!
SURGICAL PATHOLOGY REPORT
* Consult Report *
Date Taken: 5/27/2011
Specimen(s) and/or Material(s) Received
Slides and report received
Diagnosis
A. DUODENAL BIOPSIES:
- NO PATHOLOGIC DIAGNOSIS.
B. GASTRIC ANTRAL BIOPSY:
- SINGLE FOCUS OF INFLAMMATION (SEE MICROSCOPIC).
C. GASTROESOPHAGEAL JUNCTION AT 41 CM. BIOPSIES:
- SQUAMOUS MUCOSA WITH NO PATHOLOGIC DIAGNOSIS.
- CARDIA WITH NON-SPECIFIC CHRONIC INFLAMMATION.
D. ESOPHAGEAL BIOPSY:
- NO PATHOLOGIC DIAGNOSIS.
E. ASCENDING COLON, BIOPSIES:
- GRANULOMATOUS INFLAMMATION.
- MINIMAL ACTIVE COLITIS.
F. DESCENDING COLON BIOPSIES:
- GRANULOMATOUS INFLAMMATION.
- MILD ACTIVE COLITIS.
G. RECTAL BIOPSIES:
- MILD ACTIVE INFLAMMATION.
Clinical History
This is an 18 year old male with Crohn's disease.
Gross Description
Received sixteen slides and report labeled S09-3079.
Microscopic Description
A. The duodenal biopsies demonstrate good villous architecture. There is no
active inflammation.
B. The gastric antral biopsy has a small number of lymphocytes in the lamina
propria. One focus, only seen on one level, also has a few neutrophils. No
organisms with the morphology of Helicobacter are seen on the provided special
stains.
C. This specimen consists of one piece of squamous mucosa, and one piece with
both squamous and glandular mucosa. The squamous mucosa is not inflamed. The
glandular mucosa has lymphocytes and plasma cells in the lamina propria. No
neutrophils or giant cells are seen.
D. There is no inflammation in the esophageal biopsy.
E. The biopsies from the ascending colon have a diffuse increase in chronic
inflammatory cells in the lamina propria. There are also a small number of
well-formed granulomas. There are scattered neutrophils, and rare eosinophils.
F. There are two descending colon biopsies. One has the same appearance as
ascending colon, with a few more neutrophils. The other biopsy has patchy
inflammation.
G. One crypt abscess is seen in the rectal biopsies, and there are scattered
neutrophils in the lamina propria.
What I'd like to know most about is the crypt abscess, what that is? Visually no one has seen perianal fistulae/abscesses, just fissures. However, an MRI showed a fistula with possible abscess, but they still only saw the fissure. It's all so confusing!
