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Circumferential thickening of the distal ileum with a small focus of contrast extravasation in the terminal ileum ~ 8-10cm from the ileo-caecal junction that pools on the PV phase. Note also on the PV phase that all the muscosa of the distal ileum enhances markedly indicating active inflammation. Note also hyperdense bowel content in the distal ileum and colon including the rectum indicative of fresh blood.