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Moderate volume of hyperdense ascites due to significant oral contrast leakage into the peritoneal cavity is present. Several foci of extraluminal air are visible in the upper abdomen. Some of the proximal small bowel loops show hyper-enhancing wall thickening. A small mural defect is seen at the peri-pyloric area's superolateral aspect, suggestive of perforated peptic ulcer disease.