Delayed phase images were obtained due to motion on portal venous phase. Portal venous phase imaging is included in this case to highlight the gastric findings.
Best seen on delayed phase imaging, there is focal thickening and hyperemia associated with a loop of small bowel in the right lower abdomen. A bone fragment can be seen within the bowel lumen, with the pointed edges of the fragment protruding into the wall. Proximally, an additional fragment of thin bone can be seen within the small bowel lumen.
On the portal venous phase imaging, there is a round intramural mass in the gastric fundus. It has peripheral enhancement and central low attenuation. At the time of initial imaging, this was felt to represent a focal intramural perforation/abscess in the stomach due to the ingestion of chicken bones.