hollow viscus perforation

Marked pneumoperitoneum with mild to moderate amount of free fluid in abdomen and pelvis ( 10-30 HU) – suggestive of hollow viscus perforation

 Mild long segment mural thickening of jejunal, ileal with extensive surrounding mesenteric fat stranding and interloop free fluid – represents enteritis of indeterminate etiology.

 One of the jejunal loops in left upper quadrant demonstrates tiny intramural air loculus and adjoining streak of fluid – represents most probable  site  of perforation at the anterolateral wall of jejunal loop   in left quadrant

 A clumped /clustered rounded loop of jejunum anterior to the pancreatic tail with mild wall thickening – possibility of  left paraduodenal hernia cannot be ruled out.