Figure 1. Chest and abdomen. There is a large pneumoperitoneum as evident by continuous diaphragmatic outline, free intraperitoneal air lining the inferior margin of the liver and positive Rigler’s sign. Generalised haziness in the lower abdomen with bulging flanks suggested presence of free fluid. Features are in keeping with recent viscus perforation. The small bowel loops are dilated and demonstrate wall thickening in left upper quadrant.