Appearance is highly suggestive of small bowel injury. Blunt trauma to the abdomen is often the cause.
A few points of interest in this case:
1. Movement artifact (sometimes unavoidable) can contribute to challenge in image interpretation.
2. Abdominal injuries can present in a delayed fashion. Always review prior imaging.
3. Its teamwork - direct your clinician towards what you think is wrong, not just in image reporting, but opinion.
4. Never say never - it will come back to bite you one day!.