Grossly distended stomach filled with food residue and associated delayed gastric emptying. Gastro-esophageal reflux to distal esophagus noted. The delayed film demonstrates small bowel loops within the right paracolic gutter. The film shows the absence of the normal duodenal C loop, D3 not crossing the midline and duodenojejunal junction not at the same height as the duodenal bulb. No corkscrew appearance of proximal small bowel loops to indicate midgut volvulus. The film classically demonstrates midgut malrotation.