Markedly dilated sigmoid colon reaching the right hypochondrial region showing coffee bean sign, tapering of its lower end (bird beak sign with rectal contrast) and whirly appearance of its mesentery. No underlying mural thickening noted.
Other findings include bulky left supra renal gland, bilateral renal cortical cysts, bilateral inguinal hernias, right Spigelian hernia, spondylodegenerative changes of the lumbar spine and atheromatous plaques of the aorta and iliac vessels.