RADIOLOGY: GASTROINTESTINAL: GI: Case# 33957: INGUINAL HERNIA; ABDOMINAL AORTIC ANEURYSM; SCOLIOSIS. The patient is an 84 year old female with abdominal distention and a right inguinal mass. 1. Distal small bowel obstruction secondary to a right small bowel containing inguinal hernia. No free intraperitoneal gas or free intraperitoneal fluid. No evidence for pneumatosis. Due to lack of intravenous contrast, the presence of small bowel ischemia cannot be determined. 2. Large 6 cm infrarenal abdominal aortic aneurysm. This abdominal aneurysm extends to the level of the common iliac artery. 3. Scoliosis with degenerative changes of the lower thoracic and lumbar spine.