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What else can you see on the x-ray?
Tenckhoff catheter for peritoneal dialysis; bilateral femoral head avascular necrosis.
Tenckhoff catheter projects over the pelvis. Left iliac fossa double J stent and surgical clips in keeping with renal transplant.
Prominent the non-dilated loops of small bowel with multiple non-specific air fluid levels. Gas is still present in the rectum. Features favour an ileus over a mechanical bowel obstruction.
Changes of avascular necrosis are noted in both femoral heads.