From the case: Pneumoperitoneum

X-ray
Massive free gas ...
Frontal
Massive free gas underneath diaphragm on both sides. Concave fluid level through abdomen due to ascites. Upper parts of liver and spleen are visible.
Modality: X-ray (Frontal)

- “ This patient had a pre pyloric perforation with 10 millimeters diameter due to peptic ulcer disease. ”

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