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Percutaneous drain within the right paracolic space; the bladder is catheterised.
Postsurgical changes with oedema and some gas around the right flank. There is a tiny bubble of gas in the prehepatic subphrenic space, but no generalised pneumoperitoneum.
There remains a small collection only within the right flank, measuring approximately 3 x 1 x 3 cm but there is a slightly larger collection of fluid (3 x 6 x 6 cm) pooling in the pelvis. it has an enhancing wall. Interestingly, the previously seen appendicoliths are now within this collection.
There is very minor periportal oedema through the liver, and nonspecific signs of abdominal sepsis. There are tiny bilateral pleural effusions.