Case of the week 5

This week's case is an enhanced CT of the abdomen and pelvis in a 52 year old man with right lower quadrant pain.

This week I am providing axial and coronal movies to better represent how radiologists look at imaging studies real time. You can pause the movie and use the scroll bar at the bottom to move forward or backward.

Questions
Are there any relevant findings in the images provided?

What would be your diagnosis?

What would be your recommendation?

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