Middle aged male presented with chronic dull abdominal pain, change in bowel habit. Patient is a known case of pulmonary tuberculosis and received complete treatment.
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There is focal circumferential asymmetric thickening of the terminal ileum measuring approximately 9 cm. There is mild perilesional fat stranding present. Multiple enlarged mesenteric lymph nodes are seen in right iliac fossa. There is mild free fluid is seen in the peritpneum predominantly in the right iliac fossa. Incidentally noted multiple small gall bladder calculi. NG tube and Foley's catheter are seen in situ.
In a known case of tuberculosis, imaging features are suggestive of ileocaecal tuberculosis.