Marked circumferential bowel wall thickening involving the terminal ileum as well as the caecum. The thickened terminal ileum shows aneurysmal dilatation, whereas the proximal distal ileal bowel loops are not dilated but collapsed.
Fat stranding adjacent to the thickened bowel loops with thickened peritoneum.
Multiple enlarged lymph nodes at the right iliac fossa, paracaval, aortocaval and para-aortic region, some having low attenuating component possibly representing necrosis.
Appendix is normal in calibre.
No intramural gas, pneumoperitoneum or portal venous gas.
No focal liver lesion. Simple left renal cyst. No ascites.