Focal pain in left lower quadrant. No fever. Probable diverticulitis.
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Axial unenhanced CT image shows an oval area of fat attenuation and stranding adjacent to the left colon, a finding indicative of epiploic appendagitis.
Colonic diverticulosis without inflammatory signs. No bowel thickening.
Small left renal stone.
The patient presents with abdominal pain and rebound tenderness that correlates with the location of the infarcted epiploic appendage. No surgery required.