There is marked dilation of the stomach, small bowel and large bowel with air-fluid levels. The transition point is at the rectosigmoid junction, where there is a shouldered apple core stenosing lesion.
There is a small volume of free fluid in the pelvis. No mural or portal venous gas.
Bilateral inguinal hernias contain fat and free fluid on the left, and fat and the anti-mesenteric border of a short segment of sigmoid colon on the right. Moderate hiatus hernia. Right adrenal nodule.