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A moderately long segment of abnormal sigmoid colon with numerous diverticula and significant surrounding inflammatory change. Numerous locules of gas that sit outwith the colon are suspicious for fistula.
The uterus is directly oposed to the mass and there is concern for a uterocolic fistula although there is no gas within the uterus or tubes. Bladder wall thickening, but no intra-vesicular gas.
Note is also made of a hiatus hernia.