Chest and abdomen
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The xrays show markedly dilated loops of small bowel, and a dilated transverse colon is seen on the chest xray. The chest xray is taken standing up (erect) and shows air-fluid levels in both the small and large bowel. On the abdominal xray, there is no gas seen in the large bowel beyond the splenic flexure. The upper abdominal xray shows an abrupt transition from distended to collapsed colon just beyond the splenic flexure. The findings indicate small and large bowel obstruction.
A CT of the chest, abdomen and pelvis should be the next step as the findings are suspicious for a colonic malignancy.