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Multiple diverticula of various sizes associated with the distal descending and sigmoid colon. Supero-medial to the proximal sigmoid colon is a rim enhancing collection with a short air-fluid level, highly concerning for a contained perforation. Circumferential wall thickening and pericolonic fat stranding associated with the sigmoid colon. No shoulder formation or discrete mass lesion. No lymphadenopathy or free intraperitoneal air.