Case homepage 8 year old with abdominal pain
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An 8 year old boy presents to the ER with a 2 day history of abdominal pain and distention. He has a complicated medical history including Schwachman Diamond Syndrome, a bone marrow transplant, and is on immunosuppressants (prednisone, tacrolimus).

What is the most concerning finding on this x-ray?

Responses: choose the best one answer
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