Dilated, fluid-filled distal small bowel.
Dilated cecum and appendix.
Intussusception of the hepatic flexure into the transverse colon, which has an "accordion"-like appearance as it is folded over. The lead point is a lipoma, which has a few areas of mild stranding and adjacent foci of air.
Distal colon is decompressed.
Left nephrogram is slightly delayed (I am unsure why).