Arterial sigmoid colon diverticular hemorrhage with contrast dispersing and pooling on portal venous phase. Extensive sigmoid colon diverticulosis. No focal colonic wall thickening or pericolic fat stranding.
Normal appearance of the liver. Cholelithiasis in a collapsed gallbladder. No pericholecystic fluid. Normal appearance of the pancreas, spleen, and adrenal glands. Several fluid-density cortical renal cysts bilaterally.
Mural calcification along the abdominal aorta without aneurysmal dilatation. Minor calcification along the bilateral femoral arteries.
Small pericardial effusion.
Lytic lesion in the right sacrum is unchanged over the past 2 years. Osteopenia. Grade 1 anterolisthesis of L5 on S1. L2 heamangioma.
Impression
Arterial sigmoid colon diverticular hemorrhage. IR team notified.