Fig. 8

A 22-year-old male patient, known to have Crohn's disease for 4 years on immunosuppressant (methotrexate), presented to the IBD clinic for follow-up. Axial T2-w SPAIR image A shows segmental mural thickening seen at the distal ileum and ileocecal junction, axial post-contrast THRIVE image B shows corresponding mural thickening and hyperenhancement seen at distal ileum and ileocecal junction and C, D coronal post-contrast THRIVE image showing corresponding mural thickening and hyperenhancement seen at distal ileum and associated backwash ileitis at the terminal ileum (arrow). Ileo-colonoscopy E showed multiple superficial ulcers at the caecum and ileocecal valve which is seen edematous and scope cannot pass through it