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CT SCAN
 
INDICATION:  Right upper quadrant pain in a 53-year-old male with history of chronic kidney disease and GERD.

TECHNIQUE:  The examination was done without and with IV contrast and also with enteric contrast.

FINDINGS: There is diffuse colitis involving the transverse colon with wall thickening and pericolonic edema. There is evidence of previous cholecystectomy. The cecum is deviated medially. The appendix is of normal size with no evidence of appendicitis. There is no evidence of urinary stones, pyelonephritis or obstructive uropathy. There is however evidence of previous cholecystectomy. A low-density lesion in the right lobe of the liver is present which may be due to a cyst according to the density measurements. Multiple diverticuli are noted in the sigmoid colon with no evidence of diverticulitis. Sections done through the lung bases show no infiltrations.
  
IMPRESSION: Colitis involving the transverse colon.