the terminal ileum demonstrates wall thickening of layered pattern with moderate to marked contrast enhancement, in keeping with severe inflammatory process
the elevated signal on thickened walls on T2-FS images is suggestive of an active inflammatory disease
the absence of signal loss of the bowel wall on the fat suppression sequences implies bowel wall edema (fluid signal - not fat), which is in turn suggestive of active disease (in contrast to chronic disease in case of fat signal)
right lower abdominal quadrant mild free fluid and mesenteric vessels congestion (comb sign)
no evidence of abscess formation
normal appearance of the cecum
no evidence of other bowel loops segments involvement