68 years, Female. Reason: Evaluate for increased free air, intraabdominal process History: New abdominal pain and vomiting, known hx of free air. Distended small and large bowel, new from earlier exam. Stable to mild interval increase in pneumoperitoneum, may be postprocedural, correlation with patient's clinical history/physical exam recommended. Alongside left lateral aspect of centrally located bowel are possible small locules of air, while may reflect pneumoperitoneum, underlying pneumatosis not entirely excluded. Redemonstration of pelvic drain, bilateral common iliac stents, and subcutaneous emphysema of the right abdominal and pelvic wall. Please refer to concomitant chest radiography from same day for additional findings.
Persistent free air, see above, including smaller locules of pneumoperitoneum (versus possible pneumatosis) along lateral wall of centrally located bowel. Correlation with patient's clinical history and interval surgery recommended. 