This is your bread and butter case.   Typical appearances of a common pathology rather than a wow unusual case.

It is bread and butter in terms of pathology, but also the sort of on-call case that creeps up fairly often as a surgical abdomen with large bowel obstruction.

Be sure to check for a tumoral perforation and not to miss any distant metastases.

The need for completion staging of the chest with CT is also worthy of mention.