The appendix may not be clearly identified on MRI in pregnancy for a number of reasons, including the limited spatial resolution compared to CT, and the alteration in anatomy caused by the gravid uterus. In this case, it is seen inferior to the cecum. The absence of ancillary signs of acute appendicitis such as edema and fluid in the region of the cecal pole is helpful in confirming that there is no acute appendicitis. The pregnancy progressed to term with no requirement for surgical intervention.

This study also demonstrated an engorged right ovarian vein, seen here as high signal on the gradient echo images, but predominantly low signal on the SSFSE image, due to flow voids.