Active Crohn disease
Abdominal pain and nausea.
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Multifocal enteritis with areas of dilation of small bowel. The area of most pronounced thickening and 15-20 cm of distal/terminal ileum, which likely represents a combination of fibrostenotic and actively inflamed Crohn's disease, as it results in upstream small bowel dilatation. A few other short segments of thickened and hyperenhancing small bowel loops are noted proximally, consistent with multifocal disease.
Patient has a known diagnosis of Crohn's disease, with multiple areas of actively inflamed and fibrostenotic disease.