Demographics:
8 years old, Male
Indication:
Right lower quadrant pain
Case #1
Findings
- Tubular, blind-ending structure in the right lower quadrant measuring 9 mm in diameter, which is noncompressible with mild wall thickening and mild mural hyperemia
- Superficial to this is a 2 x 2.5 cm ovoid hypoechoic structure which appears separate from the adjacent bowel and shows no internal vascularity
- Surrounding inflammatory changes in the right lower quadrant
Diagnosis
Appendicitis with periappendiceal abscess
Sample Report
Dilated appendix, measuring 9 mm in diameter, which is noncompressible with mild wall thickening and mild mural hyperemia, concerning for acute appendicitis.
Superficial to this is a 2 x 2.5 cm ovoid hypoechoic structure which appears separate from the adjacent bowel and shows no internal vascularity, concerning for a periappendiceal abscess.
Discussion