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Diffuse dilation of small bowel with transition in the right mid abdomen with swirled appearance. Transition is at the distal/terminal ileum. 5 x 3 cm exophytic oval mass with heterogeneous enhancement and small fleck of calcification likely arising from the mid ileum in the left lower abdomen, a relatively short segment after it passes behind the volvulus. Vessels are swirled with the SMV wrapping around the SMA counterclockwise at the site of volvulus. Associated congestion in the mesentery with mild nodal enlargement. Small ascites.
Mild thickening/fluid associated with ascending colon.