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There are several distended loops of presumably large bowel projected within the central abdomen measuring up to 9 cm in diameter. Moderate to severe faecal loading is seen within the ascending and descending colon. The small amount of gas seen within the rectum. The appearances are non-specific but raise the possibility of a distal large bowel obstruction/sigmoid volvulus. Correlation with CT is recommended.
No definite free gas is demonstrated.
Severe degenerative changes of the lumbar spine with scoliosis convex to the right.