It's weird to be feeling happy and sad at the same time lol.. the doctor is happy.. he said that this proves to the hospital that he and I were both right after all the ****they gave us :-D
Can anyone decipher?? report says...
CLINICAL INFORMATION: Severe lower abdominal pain. no obvious cause found. continues to have pain. possible small intestinal bleed. weight loss. worse with eating. laparoscopy normal. Apthous ulcers ?crohn's disease affecting small bowel.
TECHNIQUE: Post IV contrast axial scans were obtained through the abdomen and pelvis during the arterial phase of IV contrast and following ingestion of enteric fluid.
FINDINGS: There is some fluid distention of the small bowel. There is no evidence of obstruction/stenosis. There is however some prominent enhancement of small bowel wall in the pelvis as well as the terminal ileum. The bowel wall in this region does not appear particularly thickened and there is no stranding of the adjacent fat. There are some prominent lymph nodes in the region of the iliac chain, the largest is measuring 0.8cm in the short axis. These nodes are best demonstrated on the coronal plane. The enhancing wall is also best demonstrated on the recontructed coronal planes.
Allowing for the contrast phase, no gross focal abnormality identified in the liver, spleen or pancreas. Kidneys are contrasting normally. No paraaortic lymphadenopathy. No free fluid in the abdomen or pelvis. Prominent pelvic varicose vessels noted.
There does appear to be some enhancement of the distal small bowel wall extending to the terminal ileum consistent with some inflammation. However, no definite bowel wall thickening is demonstrated. Prominent lymph nodes in the region of the terminal ileum are probably reactive.
Thank you for referring this patient