Eccentric mural thickening of the distal descending colon causing almost complete luminal occlusion, leading to mild to moderate dilatation of the proximal colon which is filled with fluid and fecal matter. An ill-defined, irregular extra-luminal soft tissue mass containing multiple small calcifications is noted adjacent to this abnormal colonic segment just anterior to the L5/S1 intervertebral disc. Multiple prominent sub centimeter loco-regional lymph nodes are seen around this affected colonic segment. A nodule, likely a lymph node, measuring 11 x 14 mm is seen in the left iliac fossa. Two lymph nodes measuring 12 x 15 mm (pre-sacral location) and 13 x 22 mm (left pelvic side wall) are also noted.
Status post cholecystectomy and left nephrectomy. A few simple right renal cortical cysts. Small hiatal hernia and small fat containing umbilical hernia.