The liver, pancreas, gallbladder, adrenals and kidneys, are normal. Enlarged spleen.
Incidental infrarenal duplication of the IVC.
Multiple rounded foci within the mesentery surrounding the mesenteric vessels and epigastrium demonstrate peripheral enhancement with a hypodense centre measuring up to 16 mm in the short axis are favoured to represent necrotic nodes and are more prominent than on the prior study (not shown). These don't appear to communicate with each other or the adjacent similar-appearing bowel-loops. Several lymph nodes also identified within the inguinal region.
Unremarkable loops of the small and large bowel, no signs of terminal ileitis.
Small volume intra-abdominal or pelvic free fluid, similar to the prior CT.
Unremarkable urinary bladder.
No osseous lesions.
Patchy pulmonary nodules are partially imaged in the right lung base.