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Wk 3, Case 3 - Review

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Report

EXAM: US Appendix

INDICATION: Right lower quadrant tenderness and pain for 2 days.

TECHNIQUE: Ultrasound imaging of the right lower quadrant of the abdomen was performed using two-dimensional grayscale imaging. Color Doppler images were obtained to evaluate vascular flow. The exam was performed to evaluate for appendicitis.

FINDINGS:

Any Limitations: None.

Appendix visualization: The appendix is clearly visualized, and the maximum outer diameter is 14 mm (normal is typically < 7 mm).

There is appendiceal wall hyperemia and echogenic surrounding fat. An appendicolith is visualized. The appendix is not compressible.

There is free fluid adjacent to the appendix. There is no loculated fluid collection visualized.

The incidentally seen right kidney is normal.

IMPRESSIONS:

Findings are consistent with appendicitis. No abscess visualized.

Case Discussion

Faculty

Brandon P Brown, MD, MA, FAAP

Director of Fetal and Perinatal Imaging

Indiana University School of Medicine

Tags

Ultrasound

Pediatrics

Nuclear Medicine

Gastrointestinal (GI)

CT

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