 My topic is a role of multi-director city in the evaluation of co-operative relations which is a pathological correlation. Introduction, as you all know, it is an increasingly useful technique in the evaluation of industrial businesses along with the evaluation of the extra industrial manifestations. We are defining the wall thickening, which can be focal, segmental or diffused as a wall thickening, symmetrical or asymmetrical involvement of the bowel movement, as there is a smooth or irregular or lovelier inner or outer contour and the degree of pattern of any aspect associated with any adjacent inflammatory change like any concentric inflammatory response or an axis or flagman or associated lymphogenopathy or distilled metastatic tapersets which provide an additional important feature helpful in narrowing the differential diagnosis. MDCT is also useful in assessing the depth of involvement of possible neopressant to identify a colleague's spread, including lymphenode untreated, covalent or irregular metastases. Hence, this is an attempt to characterize the wall thickening in patients with covalent conditions as either ruby or malignant based on different features. This study aims at evaluating the role of CTA in tumor staging of malignant lesions. CTA findings are finally correlated with histopathological findings. In some subjects here, this study is the accuracy of MDCT in diagnosis of the cholera collisions and to study the effectiveness of MDCT in differentiating neoplastic from non-neoplastic lesions and to study the accuracy of MDCT in preoperative tumor staging of covalent malignant lesions is a prospective type of study that's carried out in the department of radiolignation imaging at Osmarin's anti-hospital. Patients with suspicion of large bowel lesions were included in this study. The city also performed, the city also performed using 128-slice scanner. All patients are placed in a spine position in CT table and a roommate was simply inserted into the colon to get adequate colonic distinctions and then amazing is performing RT-Tilted portal venus and with section with the 5 mm. Informed concern was taken from each patient prior to endowment in this study. Inclusion criteria, all patients expected to have inflammatory obstructive ischemic and neoplastic diseases are the large-world diseases, large-world where included in this study patients with histopathological findings are reliable or correlation also included. Exclusion, patients with past-stuff chronic lineage barrier or allergic reaction to contrast were excluded, patients with whom histopathological correlations aren't available, they are excluded from this study. This is my first case. So, asymmetrical circumferential thickening, non-reknowing sigmoid problem of varying length with HSM asymmetrical circumferential thickening, non-reknowing sigmoid problem with pyrimicentric fat stranding and multiple mucentric lymph nodes are also visualized. In this case, there are also metastatic liposites in either case of NCA sigmoid problem with deliverments T3 and 2, N1. Other case of non-case of appendicitis with thickened long sigmoid thickening and ascending problem, so this is true of colitis. Another case of asymmetrical circumferential thickening of secom and ascending problem with dilated small burlops with multiple enlarged lymph nodes where in this case we can also see multiple air pockets not in retroperitoneum and this air pockets are seen not functioning in the medias type, this is true of pneumoperitoneum with the pneumo mediasome likely secondary to ascending problem of operation. In the next case, there you can see field-defined heterogeneous isopropyl in this area with fat stranding of the left liposa adjacent to lower aspect of descending. Descending con with central area of preserved fat, so this is true of aviproic appendicitis. In the case of AC esophagus, patient doesn't post RT where you can see multiple retroperitoneum deposits in case in iota and ascending with gross ascetic and this long sigmoid circumferential thickening of ascending column with maximum wall thickness of 8 mm such as true of inflammatory colitis. Another case of sigmoid cross-structure where you can see a sigmoid circumferential all thickening of sigmoid corvus with moderate ascetic and omontal thickening noted such as true of abdominal tuberculosis with stricture. Another case of CA transistor where you can see field-defined asymmetric circumferential thickening of non-oriental transistor with extravinyl component, lots of fat strains with adjacent small wall loops noted and in this case there are also multiple omontal peritoneum deposits there also seen. This is true of CA transistor with multiple peritoneum deposits P3, N2, M1 as per station. As a result of inastry of 100 patients with all thickening in all the region of the colon and rectum 68 patients were male, 136 were female, age group was commonly affected with more than 50 years of age. Among these 64 patients were historically proven to be malevolence and 28 cases were proven to be malevolence. Of the 64 malevolence cases, 26 were stage 1 and stage 2, 32 were stage 3. Tenglishans were stages T4 based on histopathology. Here we can see a gender-based distribution where males are almost there. There is more number of females here affected. Age distribution, maximum age affected is approximately 51 to 65 years of age. As you know, in this case there are more of malignancy, a finite range of inflammatory as a 64 percentage. Site of distribution is the most common site where a secombe, ascending colon, and then a trance is colon, ascending colon, secombe or the colon. Sites of distribution are malignal relations. Malignal relations are more commonly involved in the rectum and the attenuation pattern. Homogenous attenuation, the most common finding in case of inflammatory or inflammatory etiology where heterogeneous mixed attenuation and stratified attenuation are seen in malignal relations. Degree of wall thickening, most of the malignal relations in our study showed asymmetrical thickening in contrasting to inflammatory or infected diseases which showed an asymmetrical thickening and focal segmental diseases are more commonly involved in malignal etiology than to an infective or inflammatory etiology. Contrusion, MDCT is an excellent imaging modality for diagnosis and differentiation of venine and malignal relations since it has the advantage of providing thinner sections past their acquisition. MDCT with its axial and reformatted images is a useful tool to differentiate early colorectal customer and advanced cancer. Besides identifying the relation, MDCT also provides further information regarding pericoleic abnormalities associated with the relation and to presence of lymph nodes, infiltration of parties in viscera and presence of distant metastases. Thank you.