The large bowel is located in the left hemi-abdomen while the small bowel is on the right side. The caecum is at the left upper quadrant. The SMA/SMV relationship is reversed. These findings are compatible with bowel malrotation.
There is a blind-ending tubular structure at the left upper quadrant originating from the caecum, with wall enhancement and surrounding fat stranding. There are a few prominent regional lymph nodes. Reactive ileus is also seen.
The combination of findings is compatible with malrotation with a left-sided acute appendicitis.