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Trans-abdominal ultrasound with high-frequency linear transducer revealed extensive small echogenic foci in the intestinal walls.

Branching echogenic foci also noted in the liver parenchyma extending to the liver edges.

Mild to moderate free fluid was detected in the peritoneal cavity. Mural thickening of the rectum. 

• Ultrasound (Transverse):
  Gas in the liver parenchyma extending to the liver edges
• Ultrasound (Longitudinal):
  Right lobe of liver, gas in the liver parenchyma extending to the liver edges
• Ultrasound (Longitudinal):
  Intraparenchymal gas. Normal gall bladder
• Ultrasound (Transverse):
  Gas in bowel wall with extraluminal fluid
• Ultrasound (Longitudinal):
  Rectal mural thickening, pelvic ascites,
• Ultrasound (Transverse):
  Gas in bowel wall with extraluminal fluid