The stomach is markedly distended.
Loops of distal jejunum-proximal ileum distended up to diameter of 3.8 cm, with air-fluid levels and rapid gradual dilution of intraluminal contrast material.
The spleen has been removed; appears lacerated on previous study 1.5 years earlier (see study below). Splenules currently in its location, as well as several others embedded in the omentum (see annotated images below). Transition point to collapsed ileum in lower abdomen at midline.
In summary:
Radiographic picture of small bowel obstruction, most probably adhesive, likely resulting from the previous splenectomy.