The stomach is twisted along its short axis plane such that the gastro-esophageal junction is inferiorly placed in relation to the pyloro-duodenal junction. The inserted nasogastric tube is seen taking a twist and demonstrating the inferiorly located gastric fundus relative to the pyloro-antrum. The stomach wall show enhancement with contrast without evidence of pneumatosis which excludes ischemia.
The spleen is abnormally placed and lies in an infero-medial location consistent with wandering spleen. The rest of the small and large intestines are of normal caliber.
Tortuous abdominal aorta is noted with calcifications seen within the walls of the iliac branches. Right hydrocele is also noted. Degenerative changes are seen on the demonstrated dorsolumbar spine.
Features are those of mesentero-axial volvulus without evidence of bowel ischemia.