The right part of the greater omentum is thickened and shows fat stranding, with hyperdense linear opacities representing engorged blood vessels. It displaces the ascending colon and several ileal loops medially. Small amount of intraperitoneal free fluid - in the hepatorenal fossa, around the lower edge of the liver, in the right lower abdomen, in the lesser pelvis, and in the left paracolic gutter.
The appendix is postileal in position, measures 6 mm in diameter, has thin walls, and contains gas locules. Tiny appendicolith in its distal lumen. No periappendiceal fat stranding.
Innumerable mesenteric lymph nodes, nonenlarged, prominent in right lower abdomen (maximum 8 mm thick).
Small fat-containing umbilical hernia.