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The CT confirms the presence of bilateral calcified and bulky adrenal glands, correlating with the abdominal x-ray findings. In the right lower quadrant, there is an abdominal wall hernia containing omental fat and small bowel. The neck is wide and there is no bowel obstruction. The hernia is just lateral to the lateral border of the right rectus abdominis muscle and is a Spigelian hernia.