A few surgical clips are in the right lumbar region, which are consistent with a past history of right nephrectomy.
A large soft tissue density, obscuring the psoas muscle outlines and displacing bowel loops to the periphery, is seen in the central abdominal cavity; in view of past history of right nephrectomy, one possibility can be recurrent malignancy. Another possible differential is an aortic aneurysm.
No abnormal bowel dilatation, air-fluid levels or pneumoperitoneum is seen.
Osteopenia and degenerative changes are seen in the visualized skeleton.