Hepatic portal venous gas in both lobes is noted along with portal venous gas in central portal vein. Intestinal pneumatosis worrisome for transmural necrosis is also seen. There is high grade arteriosclerosis involving the splanchnic and renal arteries. A biventricular pacemaker is also noted. There is colonic diverticulosis without evidence of diverticulitis.
No evidence of pneumoperitoneum, interloop or gross ascitess ascites nor bowel obstruction.
Overall findings are worrisome for mesenteric ischemia, especially taking clinical presentation into account.