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There is a moderate to large amount of peritoneal fluid. The small bowel is markedly dilated with a transition point in the lower abdomen at the distal ileum. At this point, there is a mass containing calcifications. The immediately upstream ileum is oedematous.
Oral contrast has reached the caecum and ascending colon. Apart from diverticulosis, the collapsed large bowel is unremarkable. There are enlarged mesenteric lymph nodes. The peritoneum is hyperenhancing, which may reflect peritonitis.