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Inflammatory stranding of omental fat anterior to the right colon containing a whirling pattern of vessels is consistent with omental infarct.
Stranding is distant to the appendix, which has diameter 6mm. No mural thickening in adjacent colon. No bowel obstruction. No free intraperitoneal fluid or gas. No enlarged retroperitoneal or mesenteric lymph nodes.
Multiple calcified gallstones.
Umbilical hernia with a broad hernial orifice and contains fat and bowel without incarceration or obstruction.
Pattern and location of inflammatory stranding is consistent with omental infarct.