Large volume pneumoperitoneum.
The majority of the free gas is located in the upper abdomen. Mural defect on the lesser curvature of the stomach with thickening proximally. Moderate volume of intraperitoneal free fluid with mural thickening in the proximal ileum and distal jejunum.
Normal appearance of the liver, gallbladder, pancreas, spleen and large bowel. Distended urinary bladder.