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A 29-year-old male patient presented with acute onset, severe left lower quadrant pain. Axial plane postcontrast abdominal CT showed an oval-shaped fatty lesion (arrows) in the left lower quadrant with peripheral inflammatory fat stranding, consistent with epiploic appendagitis. Note was also made of thickened adjacent parietal peritoneum secondary to the local inflammation (arrowheads). The patient responded well to the supportive medical treatment
