Extending to the ileocaecal junction, there is a 2.5 cm segment of mildly thickened and moderately hyperenhancing terminal ileal disease. No upstream dilatation. The preceding 7 cm of terminal ileum is mildly involved. Proximal to this, there is a second focal 2.5 cm segment which is moderately thickened and moderately hyperenhancing. No upstream dilatation. No small bowel obstruction, fistula or mesenteric collection. Tiny liver cysts. The background liver parenchyma appears unremarkable. Normal gallbladder, spleen, pancreas and adrenals. No suspicious osseous lesion.
Conclusion: Two focal segments of moderate active inflammation in the distal ileum, at the ileocaecal junction and distal terminal ileum at 10 cm. No Crohns related complications. Appearances have mildly improved compared to recent CT.