X-ray given below suggestive of:

X ray image shows Pseudo- pneumoperitoneum Pseudopneumoperitoneum describes any gas within the abdominal cavity that masquerades as free intraperitoneal gas or pneumoperitoneum when it is in fact contained within an organ. Correctly identifying pneumoperitoneum is impoant, but making the diagnosis in error may lead to fuher unnecessary investigation and possible treatment. Causes of pseudopneumoperitoneum include: basal linear atelectasis pseudomediastinum (mimicking cupola sign) chilaiditi sign pseudo-rigler sign diaphragmatic undulation gas within skin folds biliary, poal vein or bowel wall gas fat within the subdiaphragmatic space or the ligamentum teres properitoneal fat stripe benign post-traumatic pneumoperitoneum.