Spot image from an upper GI small bowel followthrough exam (left) shows a long segment of ileum on the right of the image that has lost its normal folds, is narrowed in caliber, and has a cobblestone appearance. Spot image of the terminal ileum (right) shows it also lacks its normal folds and is narrowed in caliber. Inflammatory changes are also noted in the cecum.
The diagnosis was Crohn disease affecting the distal ileum and terminal ileum.
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