Non contrast due to prior allergy.
The proximal small bowel is malrotated in the left flank, but without reversal (whirl sign) of the vasculature. A segment of bowel is coiled in a 'snail-like' configuration, with intense mesenteric inflammatory change.
Short segment of associated thickened distal descending colon.
Fluid in the pelvis and upper abdomen. No free gas.
Basal calcified pleural plaques.