 So, today I will be discussing about the scientific paper, role of multi-detector computer tomography in clinically suspected acute small bowel obstruction. So intestinal obstruction is a common clinical condition that occurs secondary to mechanical or functional obstruction of the intestine, preventing normal transit of its content. It is a frequent cause of hospitalization and represents 15 to 20% of surgical admonition for acute abdominal pain. The small bowel is involved in 60 to 80% of cases of intestinal obstruction. The responsibility of a radiologist in a suspicion of intestinal obstruction is to detect the presence of obstruction and determine its location and transition point and cause and to question the person's presence of complication and the presence of the finding with a clinical significance. Clinically, the most important findings are abdominal pain, vomiting, swelling in the stomach, a decrease in gas and stool. While abdominal pain is initially in a colic style, it becomes permanent due to the decrease of peristalsis in the following period. Several studies have demonstrated the value of CT in confirming a diagnosis and revealing the cause of small bowel obstruction with a sensitivity of 94 to 100% and accuracy of 90 to 95%. Currently, the availability of MDCT and the continuous refinement of the 3D imaging process have greatly expanded the utility of CT for evaluating patients with bowel disease. MDCT is now readily available and has advantage over clinical classical helical CT in the imaging of the mesentric vasculature and of the bowel. MDCT represented a breakthrough in CT technology. It has transformed CT from a transexiled cross-sectional technique into a true 3-dimensional imaging modality that allows for arbitrary cut planes as well as excellent 3D displays of the data volume. So the purpose of this study is to evaluate the demographic profile of patients with small bowel obstruction to assess the level, severity and cause of small bowel obstruction and to determine any complication which has important implication on patient management. The material and methods for this study was a prospective study and it was conducted on 50 patients who represented to department of radio diagnosis and interventional radiology from OPG and IPD of Shubhati Medical College for a period of two years from November 2019 to August 2021. Other criteria were all the patients in any age group referred to the radiology department with clinical suspicion of acute small bowel obstruction, patients with the diagnosis of subacute and sustenal obstruction who were deferred from other departments of Shubhati Medical College and hospital, patients with distention of abdomen and not passing platus and feces. The exclusion criteria they were the patient requiring urgent laparotomy, radiological findings suggestive of large bowel obstruction and patients who were unfit for CT scan due to acute renal failure, high serum creatinine levels. So these are some imaging findings of the cases. This coronal and exel CCT shows we can see there is a telescoping of the mid-isle loops into the adjacent distal isle loops giving a target appearance of the interception and causing the proximal dilatation of small bowel loops. This is another interesting case showing circumferential wall thickening of IC junction and a terminal ilium and we can see it is causing luminal narrowing with proximal dilatation of the small boggles. The next is the exel and coronal CT showing the dilatation of small bowel loops involving genital and proximal ilial loops and we can also see the small bowel feces sign as shown by this arrow with a transition point in the distal ilial loops. Now these are the pie charts showing a distribution of male and female in the study. So we can see there is a high percentage of involvement of the male. They are involving 78% of the cases and the females they were involving only 22%. The most common clinical features of the most common clinical features the patient presented that of abdominal distension, constipation, followed by vomiting, abdominal pain and there were some other features. The cause of small bowel dilatation the most common were the inclement to wall thickening. The second was the adhesions followed by strictures and very few involving the volvulus and interception and there were also few cases of the mass lesions of ovary. The site of obstruction determined on CT, the most common was the site of obstruction seen on CT was a distal ilium followed by proximal ilium, genitinum, IC junction and there were certain indeterminate site of obstruction also. So the result was that that out of the 50 subjects, the 78% of the subjects they were males and 22% of subjects they were females. Abdominal distension, inability to pass stool, vomiting and abdominal pain they were revealed among 58%, 76%, 58% and 54% of the subject respectively. Hence most common clinical feature was a male to pass stool, that is constipation. The most common cause of small bowel dilatation was inflammatory wall thickening and adhesions followed by the strictures. And according to MDCG, the site of obstruction was judgmental proximal ilium, distal ilium and IC junction and it was found among 12%, 32%, 42% and 6% of the subjects. The site of obstruction was not determined in 8% of the subjects. CT diagnosis predicted two positive and two negative among 60.71% and 17.86% of the cases, while fall positive and falls negative among 7.14 and 14.29% of the cases with respect to cause of obstruction. CT diagnosis predicted two positive and two negative among 57.14 and 25% of the cases while fall positive and falls negative among 10.71% and 7.14% of the cases with respect to site of obstruction. So, to conclude, I would say that MDCG, by using its multiplayer and 3D capabilities it is highly accurate and specifically in detecting the presence of intestinal obstruction. It can demonstrate the exact site of obstruction in a high percent of cases. MDCG is highly sensitive and specific in diagnosis cause of obstruction. In addition to primary gut pathology, MDCG can detect various associated and incidental findings which are not suspected clinically. Hence, it has the potential to provide significant information which leads to timely appropriate treatment and thus positively affect the outcome, mobility and mortality of the patient.