The caecum is grossly dilated lying in the central abdomen with the caecal pole lying to the left of the midline. Intramural air in the caecum. No small bowel dilatation.
The ileocecal valve lies just to the left of the midline.
No free gas or fluid.
Cholecystectomy.
Simple renal cortical cysts. Left adrenal adenoma. Calcified uterine fibroid.