Can someone explain these results to me in English?

My new GI ordered an MRI with contrast and I just got the results but I have no idea what it means. I tried looking up the terms but didn't get anywhere. Can someone translate it into English for me? At my last colonoscopy a few months ago my old GI said that everything looked under control compared to my colonoscopy 6 months prior but if the MRI is showing continued inflammation than its not under control right? Which is why my symptoms aren't better?

1. Mild mucosal hyperemia of the descending and sigmoid colon, which
may reflect subtle acute or chronic inflammation.

2. Sequelae of chronic inflammation predominantly involving the
distal rectosigmoid colon, to a lesser degree of the descending
colon, compatible with diagnosed ulcerative colitis.

3. The remaining small and large bowel are without evidence of acute
or chronic inflammatory changes.

1. Mild mucosal hyperemia of the descending and sigmoid colon, which may reflect subtle acute or chronic inflammation. The thin layer lining the large intestine, known as the mucosal layer, had mild blood vessel swelling(hyperemia). Inflammation causes thickening of layers when your vessels are engorged with excessive blood. It was on the left-side of your large intestine (descending colon and sigmoid colon).

2. Sequelae of chronic inflammation predominantly involving the distal rectosigmoid colon, to a lesser degree of the descending colon, compatible with diagnosed ulcerative colitis. The blood vessel swelling started in your rectum and was continuous (distal) to the sigmoid colon. It was still visible, but a lot milder, when you go further up the left side to the descending colon. The appearance of swollen blood vessels is a secondary feature suggestive of a chronic disease (Sequelae) that causes inflammation, matching active ulcerative colitis inflammation.

3. The remaining small and large bowel are without evidence of acute or chronic inflammatory changes. The remainder of your large intestine looked normal (transverse colon, ascending colon and terminal ilium).


It sounds like you have active inflammation from uc. That or at least bowel wall thickening (also known as lead-pipe).

The inflammation was only mild in the rectum and signoid, both areas accessible by enemas. So asking about a rowasa enema or steroid-enema would seem like a sure thing to try.

How's your current uc symptoms (urgency, frequency, and signs of mucus or blood)?

Maybe ask about immunomodulators (6mp, Imuran)?