Interval postsurgical changes include enterectomy, right hemicolectomy with appendicectomy, colostomy, and partial reduction/repair of large right inguinal hernia.
There is a small loculated fluid collection in the right paracolic gutter measuring approximately 3.4 x 3.2 x 4.9 cm in size and extending superiorly into the pericholecystic space.
The large right inguinal hernia no longer contains bowel, but still contains fat and phlegmonous fluid as well as a tiny locule of air. There is no evidence of frank abscess or bowel obstruction.
There is a focal hyperdensity in the splenic flexure measuring approximately 2.4 cm in size concerning for mass.
Diffuse fatty infiltration of the walls of the transverse and descending colon compatible with colitis.