Numerous small bowel loops dilated up to 3.5 cm, with air-fluid levels, up to incarcerated right femoral hernia. Bowel loops distal to the hernia are collapsed. Small amount of faeces along the colon, rectal faecaloma. Small amount of intraperitoneal fluid. Small bowel loops surround the colon - malrotation?
Moderate intrahepatic bile duct dilatation; severe common hepatic duct (CHD), cystic duct, and common bile duct (CBD) dilatation; mild pancreatic duct dilatation - all seen on previous CT abdomen 3 years earlier (not shown) but has worsened; papillary stenosis.
Small amount of right pleural effusion.
NGT in the stomach.