There are multiple thin branching lucencies within the mesentery in the lower abdomen (consistent with intravascular gas. Small gas locule within the SMV. No portal venous gas. The loops of small bowel in the left lower quadrant and pelvis are prominent and there is probable intramural gas.
No intraperitoneal gas. There is atherosclerosis at the origins of the coeliac, superior mesenteric and inferior mesenteric arteries. The coeliac and SMA opacify well. The IMA is small in calibre and is only seen proximally. The IVC is flattened consistent with hypovolaemia.
Geographic heterogeneous enhancement of the liver. Bilateral simple renal cysts. Contrast within the gallbladder due to vicarious excretion from previous contrast studies.
Comminuted right intertrochanteric and subtrochanteric fracture.