Multiphase CT images demonstrate a right ureterosciatic hernia with looping consistent with the curlicue sign. In particular, the right ureter curves into the greater sciatic foramen posterior to the right acetabulum. This abuts the right sciatic nerve. The left ureter has a slightly posterior course near the sciatic notch, but subsequently courses anteriorly towards the bladder.
There is a right inguinal hernia containing the appendix. No evidence of appendicitis is seen. Oral contrast is present in the bowel and appendix.
There is also a fat-containing umbilical hernia.
A right-sided bladder hernia is seen extending through the pudendal canal.
Chronic compression fractures of the T12 and L1 vertebrae are present.
Sludge/stones are noted in the gallbladder. Colonic diverticula are seen without acute diverticulitis.