The appendix is distended and its wall oedematous. There is a large amount of surrounding fat stranding and multiple right iliac fossa lymph nodes.
There appears to be a 4 cm diameter enhancing soft tissue mass within the lumen of the rectum without obstruction, but what appears to be a vascular core.
Small bilateral renal cysts are noted. A 4 mm calcific focus within the lower pole of the left kidney most likely represents a renal calculus. The liver, gallbladder, spleen, pancreas and adrenals are unremarkable. Incidental note is made of a splenunculus