Lap band device noted in situ. The phi angle measures 60 degrees. There is no extraluminal contrast extravasation from the well distended stomach. No surrounding stranding.
There is no free fluid or free gas.
Evidence of previous cholecystectomy is noted. The liver, spleen, adrenal glands and pancreas are normal in appearance. Mild prominence of the common bile duct is likely secondary to previous cholecystectomy. Small hypodense renal lesions are most likely cysts however these are too small to be adequately assessed on this study. Presumed previous hysterectomy. The surgical clip projected within the left hemipelvis likely secondary to prior tubal ligation. No bowel abnormality.
Apart from mild atelectasis, the lung bases are clear.
Findings are most consistent with collapse and slippage with the phi angle measuring 60 degrees;. No CT evidence of extraluminal contrast extravasation from the stomach. No other potential cause for the patient's pain is identified.