Why is it essential to make the right diagnosis of diverticulitis?
Diverticulitis is essentially a benign and primarily non surgical disease that needs to be distinguished from colonic malignancy.
Is CT reliable distinguisher of inflammation from malignancy?
Unfortunately there is significant overlap between features of inflammation and colonic malignancy, however a diverticulosis with fat stranding and preserved mural enhancement favors diverticulitis rather than malignancy.
Multiple outpouchings seen from sigmoid colon surrounded by fat stranding with local inflammation affecting an adjacent small bowel loop.