Moderate amount of intra-abdominal but extraperitoneal fluid and gas are seen
throughout the left flank, thought to originate from anterolateral wall of
dilated urinary bladder which shows nearly circumferential mural gas suggestive
of emphysematous cystitis. There is a small amount of gas also present at
the anteroinferior margin of the spleen, possibly gas having dissected into the
peritoneal space here. There is no intraperitoneal gas elsewhere. Minor amount
of intraperitoneal ascites in Morison's pouch and bilateral paracolic gutters.
Minor presacral edema. Suprapubic catheter in situ. Recommend correlation with
suprapubic catheter function. Mild bilateral hydroureteronephrosis. Otherwise normal appearance of bilateral kidneys.