Massively gas-filled distended stomach with a PEG appearing in good position. Gas is seen within the stomach wall and there is also pneumatosis of several loops of small and large bowel (particularly in the right iliac fossa). Branching lucency projected over the liver is concerning for portal venous gas. No free gas however identified. Overall features are highly concerning for extensive gastrointestinal tract ischaemia or necrosis and CT is advised.