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Left upper abdominal quadrant multiple locules of mixed fluid and gas densities, surrounding with marked fat oedema, closely related to the colonic splenic flexure wall and based upon the peritoneum and left lateral abdominal wall suggesting abscesses. Suspected colonic wall focal perforation.

Segmental circumferential wall thickening of the colonic splenic flexure with marked luminal compromise suggesting a mass lesion.

The colon proximal to this segment (caecum, ascending and transverse) is seen as redundant, markedly loaded with contents and opacified with the enteric contrast. The contrast can’t pass through the stenotic colonic lesion and the distal colon is not significantly distended.

The small bowel is not distended inferring competent ileocaecal valve.

Few minute hepatic focal lesions appear hypo enhancing in the portal phase.

Few right simple renal cysts is noted.