The anterior abdomen is cut off from the field-of-view, due to patient's size. There is thickening of the left ventricle indicating hypertrophy. Heterogeneous, patchy perfusion within the liver. Incidental probable pancreas divisum. Patchy areas of hypoenhancement within the majority of the spleen, indicating infarcts. Multiple renal infarcts, which are somewhat difficult to distinguish from the adjacent cysts and due to the presence of patient motion.
There is acute occlusion of the mid superior mesenteric artery, which is somewhat difficult to detect on axial images and due to the presence of motion, possibly easier on sagittal. There is dilation of much of the small bowel, with some areas of abnormal thickening and also mesenteric edema. The proximal descending colon is equivocal for pneumatosis.