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There is a long segment of distal small bowel thickening along with engorgement of the adjacent mesenteric vessels.
Around the level of umbilicus, midline anteriorly and just deep to the recti muscles, there is a peripherally enhancing collection containing gas locules, surrounded by inflammatory stranding.
Colon is unremarkable. Upper abdominal solid viscera look normal. No retroperitoneal lymph node enlargement. Incidental GB stones. No features of acute cholecystitis.
Interpretation: Features are highly suspecious of inflammatory bowl disease (Crohn's) complicated by intra-abdominal abscess.