Infant with cystic fibrosis and abdominal pain

Radiograph of pneumatosis intestinalis
AXR AP (above) shows bubbly appearing air in the walls of the ascending colon, transverse colon, descending colon and sigmoid colon. There is also linear appearing air in the walls of the descending colon and sigmoid colon. Left lateral decubitus radiograph of the abdomen (below) shows no evidence of free air.

The diagnosis was pneumatosis intestinalis of the colon.