D1-Dudenal perforation at superior wall of D1

Moderate free fluid in abdomen and pelvis (10 HU) with marked pneumoperitoneum suggestive of hollow viscus perforation.

A small defect at the superior wall of gastric pylorus with thin surrounding  fluid collection – likely suggestive of a perforated gastric pyloric ulcer.

 Mild hepatomegaly with diffuse fatty infiltration