Crohn disease
Updates to Study Attributes
Circumferential wall thickening measuring approximately 7-10 mm noted involving the terminal ileum with significant luminal compromise and stricturousstricture narrowing of the terminal ileum near ileocecal junction.
There is infiltration of low attenuation material (HU=-40) in the submucosal layer which is non enhancing-enhancing. The overlying muscularis propria and undelying mucosa are enhancing well and depicting fat halo sign.
There is surrounding mesenteric fat stranding and fibrofatty proliferation and perivascular inflammatory infiltration outline the distended intestinal arcades, displaying comb sign.
Few enlarged, non necrotic-necrotic lymph nodes are noted in the inflamed part of the mesentery.
Imaging features are most likely represent Crohn's disease
Updates to Case Attributes
Endoscopy and biopsy performed which shows ulcerated mucosal irregularities with submucosal hypertrophy and presence of non-caseous inflammatory granulomas, which is consistent with the diagnosis of Crohn's disease.
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