This week we rador Retriever that has been vomiting pink-tinged foam for several hours. Stomach is palpably distended with gas. Unable to pass a stomach tube. Findings The stomach is distended with gas and fluid, however the fundus and pylorus are in their normal positions. There are several loops of small intestine that are located cranial to the stomach. The most cranial loop, presumed to be the duodenum, is located left of midline on the v/d projection.The majority of the small intestine has been displaced dorsally and to the right. The spleen appears caudally and ventrally displaced. There is good abdominal serosal detail. The esophagus is gas distended. There is a focal alveolar pattern in the right middle lung lobe indicating aspiration pneumonia.