Pt is 54 yo M with PMH of DM, HTN, Crohn Disease presents with 2 days of worsening vomiting, had diarrhea initially that has now stopped and is no longer passing gas, also reports some slight abdominal distention. Patient has had several abdominal surgeries in the past, denies any fevers, any blood in the vomit or diarrhea, no travel. An abdominal exam reveals a soft, slightly tympanic, diffuse moderate tenderness. Pt is afebrile and normotensive. You have a strong suspicion for a small bowel obstruction and place the order to put the patient for CT, however, there’s been difficulty getting people to CT in a timely fashion all day so your attending suggests getting an abdominal xray to expedite diagnosis. How good is the abdominal xray at diagnosing small bowel obstruction and what other imaging modalities do we have at our disposal?