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Findings: Dilated large bowel loops with a few air fluid levels are seen. No significant air is seen in the rectum. No pneumoperitoneum is seen. A sizeable partly calcified lesion is seen along the lower pole of the left kidney.
Impression: Dilated large bowel loops with a few air fluid levels, likely due to distal large bowel obstruction. Large calcified lesion along the lower pole of the left kidney; possible differential includes malignancy (RCC), hydatid cyst or calcified renal abscess (tuberculous).