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A 75mm large defect is noted at right anterolateral aspect of abdominal wall, between the lateral border of the rectus abdominis muscle and the semilunar line inferring right spigelian hernia. Some small bowel loops and omental & mesenteric fat are herniated through it.
Uncomplicated distal colonic diverticulosis is present.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.