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NJ tube again noted within the duodenum. NG tube appropriately positioned within the stomach. Right common iliac stent and surgical clips noted.
Small bowel distension, with a maximal diameter of 3.9 cm. The caecum is distended with a maximal diameter of 11.5 cm. No evidence of pneumatosis coli or subphrenic free gas. Distal to the dilated caecum there is collapse of the large bowel. Appearances are suggestive of developing obstruction at the level of caecum, possibly a volvulus.