CT abdomen and pelvis
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CT confirms the presence of a distal small bowel obstruction. The distal small bowel is distended by hyperdense material seen prolapsing from the terminal ileum into the caecum.
Calcification and pancreatic atrophy in is also noted.
Bilateral chest drains in situ in keeping with recent lung transplant. Peg tube is no longer in the lumen of the stomach. Nasogastric tube has been inserted.