Structural brain changes in Crohn’s Disease (CD) have been studied in remission, however the data is inconsistent and not assessed in the active disease state. Grey matter volume (GMV) and cortical thickness (CT) were measured using VBM and CAT12/FreeSurfer in 25 active CD patients and age-matched healthy controls (HC). CD patients showed reduced CT and GMV in frontal and motor areas. Both CT and GMV were negatively correlated with proinflammatory markers, indicating these changes could be due to chronic inflammatory response. CAT and Freesurfer measures were highly comparable.