This is a normal abdominal X-ray with faecal material seen in the large bowel. There is no evidence of bowel obstruction or perforation.
The psoas muscle edge is clearly defined on the left, but not on the right. Although loss of this contour is associated with retroperitoneal pathology, such as psoas abscesses, it is also often absent on normal X-rays. Therefore, abdominal X-rays cannot be used to confidently diagnose retroperitoneal problems.