History/Indication: 39 yo male no significant PMH presents to ED with LLQ Abdominal Pain. PSH of appendectomy.

Physical exam demonstrates very focal LLQ pain. No rebound tenderness.

Findings:

Fat density, ovoid structure with hyper dense rim

Surrounding peritoneal fat stranding anterior to the proximal sigmoid colon

No free fluid, free air, abscess, or obstruction.

DDx:

Diverticulitis

Communication feedback: