Small effusions. RLQ urostomy and LLQ colostomy. Bilateral percutaneous nephrostomy tubes. Infiltrative bladder cancer. Small ascites. Mild swirling/angulation of mid abdominal vasculature. Abnormal clustering of small bowel in the left mid and upper abdomen with relative hypoenhancement, mesenteric edema, relative dilation with fluid, and radial orientation of vasculature toward the midline. Two adjacent transition points entering and exiting this loop can be reasonably traced on the sagittal reformats.