Interval placement of Gastrojejunostomy (G-J) tube with the balloon external to the gastric lumen and within the ventral abdominal subcutaneous tissues/musculature. There is new small to moderate amount of pneumoperitoneum secondary to gastric perforation from displaced G-J tube. The G-J tube tip is within the proximal jejunum.
Nasogastric tube is also present with tip in the body of the stomach. There is resolution/decompression of the gastric outlet obstruction.
There is a persistent cholecystoenteric fistula with the proximal duodenum and a small amount of air within the gallbladder. There is a rim calcified gallstone within the proximal duodenum, better visualized on this study compared to the original CT.
Remaining findings are unchanged.