Regular, asymmetric, enhancing, edematous, long segment ileal wall thickening without significant luminal compromise. There is surrounding fat stranding and intraperitoneal free fluid.
In addition there is significant circumferential plaque deposition noted in the intema of abdominal aorta distal to the origin of celiac trunk with significant stenosis (4 mm) of superior mesenteric artery at origin.
In view of clinical features and pathological findings like; occult blood in stool, low serum protein (5.5 g /dL) with normal albumin/globulin ratio; imaging findings are suggestive of chronic ischemic ileitis with protein losing enteropathy.