Acute high-grade small bowel obstruction with transition point involving mid small bowel in the pelvis with acute angulation and kinking, bubbly matter proximally indicating 'small bowel faeces sign'. No perforation, no free fluid, no mesenteric congestion. Multiple high-density stones within common bile duct. No intrahepatic duct dilatation.
Large hiatus hernia. Left common iliac artery appears occluded.