Initial films discussed with duty radiologist by the surgeon as concerns over a perforation but 'normal films'
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At presentation a SUPINE chest x-ray and abdominal radiograph were performed for the clinical indication of abdominal pain.
SUPINE CXR: No free subdiaphragmatic gas
ABDOMINAL FILM: Unusual area of lucency overlying the right upper quadrant, which appears extra-luminal in nature
REPEAT CXR IN THE ERECT POSITION (20 MINUTES LATER): Large volume pneumoperitoneum.
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