Inflammatory Bowel disease: Crohn's

A 40 yrs female with history of loose non bloody watery stools, weight loss and odynophagia since few months-

The Barium Meal Follow Through Spot compression images reveal eccentric narrowing of the distal small bowel loop with anti-mesenteric pseudosacculations.  The distal ileum stands distinct due to mesenteric fibro-fatty proliferation displacing it from rest of the small bowel. Cecum also shows cobble stone appearance. 

Large bowel colonsocopy upto hepatic flxure reveals serpiginious ulcers with spared normal mucosa giving cobble stone appearance relatively sparing rectum.