Long standing gastrointestinal disease.
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No evidence of active bleeding. There is mild pan-colonic and rectal wall thickening, mucosal hyper-enhancement and increased mesenteric vascularity, compatible with the history of ulcerative colitis. No terminal ileal thickening. Trace of free intraperitoneal fluid. No free air. No evidence of toxic megacolon. Simple renal cysts. The remainder of the organs are normal.
The patient has had biopsies:
Biopsies from splenic flexure, sigmoid colon and rectum: Chronic inflammatory bowel disease with mild activity within the sigmoid colon and rectum. The histological features are consistent with the diagnosis of ulcerative colitis.