Partial staghorn calculi in middle and lower calyces and a stone in the proximal third of the right ureter with gas bubbles in the upper parts of the pelvicalyceal system of the right kidney. Fluid collections with air-fluid levels and a large number of gas bubbles are located around kidney contained within Gerota's fascia. A small amount of gas is reaching medially into the retroperitoneal space.
Irregular shape of the right kidney consistent with parenchymal destruction.
A hypodense oval area in segment 7 of the liver is noted 38 mm in long diameter - could represent an abscess or reactive changes in liver parenchyma due to perirenal inflammation - further investigation needs intravenous contrast administration.
The air is noted in the right ureter and bladder what was not seen on x-ray. Right double J-stent is in the correct position.
Fluid in the right pleural space.