Unenhanced CT abdomen
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Non-contrast imaging has been obtained as per protocol.Approximately 73 near identical ovoid dense foreign bodies are demonstrated predominantly within the large bowel and rectum, interspersed with faecal matter. These individually measure approximately 3-4 cm in size. Aside from the large bowel and rectum, there is one observed within the gastric antrum, and a few within the small bowel/terminal ileum. There is no free fluid or free gas. No abnormal bowel dilatation to suggest obstruction.Within the limitations of a non-contrast study, the remainder of the imaged abdominal viscera appear normal. No lymphadenopathy. No suspicious osseous lesions. Imaged lung bases are clear.
Conclusion: Numerous presumed ingested intra-abdominal foreign bodies identified. Given the clinical presentation, appearances are highly suggestive of packaged substances. Clinical correlation is recommended.
Emergency physician and the attending Federal Officers have been informed of findings.