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At the anterior aspect of the distal descending colon there is an ovoid structure of fat density measuring 27 x 7 mm with adjacent fat stranding. No free fluid or gas.

The remainder of the large and small bowel are normal. No evidence of diverticular disease. The appendix is normal. Faecal material throughout the ascending and transverse colon.

The liver, spleen, adrenals, kidneys and pancreas are unremarkable. No intra-abdominal or inguinal lymphadenopathy. Tiny right pleural effusion. No suspicious osseous lesions.

Conclusion

Findings are consistent with epiploic appendagitis.