57-year-old female evaluate for abdominal abscess ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Mild biliary prominence and dilatation of the common bile duct. The patient is status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Left adrenal nodule measuring 2 cm in diameter. Further evaluation with adrenal MRI may be helpful.KIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Postsurgical changes involving the bowel.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: There is a 8.1 x 5.5 cm air, stool, fluid containing, oval shaped area in the pelvis. Due to poor opacification of the colon it's not clear whether this represents a redundant cecum located in the pelvis versus an extraluminal collection.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
Postsurgical changes involving the bowel. Mild biliary prominence. Redundant cecum located in the pelvis versus less likely an extraluminal collection in the pelvis. Further evaluation with repeat CT with rectal contrast or MRI may be helpful for differentiation.