Distended small bowel loops (diameter 40mm) with calibre change approximately 5cm proximal to the ileocecal valve. Loss of bowel enhancement and pneumatosis intestinalis of the distal small bowel and caecum.
Portal venous gas both within the mesenteric vessels and peripherally in the liver.
No evidence of vascular filling defects, particularly of the superior mesenteric artery or vein to suggest embolic or thrombotic occlusions.
Small volume free fluid, but no convincing evidence of free intraperitoneal gas (extraluminal gas appears to be intramural or intravascular).
Extensive calcific atherosclerotic changes of the abdominal aorta and the majority of the arteries within the abdomen and pelvis.
Innumerable small calcifications throughout the pancreas, consistent with chronic pancreatitis.
Longstanding bilateral renal atrophy compared with prior imaging (not shown).
Flattened appearance of the IVC.