Ultrasound - Right lower quadrant
There is a long tubular, non-compressible, aperistaltic, blind-ending bowel loop with a hypoechoic wall in the right iliac fossa, curved on itself containing fluid with some internal echoes, AP diameter 6 mm to 9 mm, wall thickness 3 mm, typical of acute appendicitis. The mesentery around it is quite hyperechoic, edematous, inflamed thickened and there is significant peri appendicular hypervascularity in the adjacent mesentery. There is a localized fluid collection of about 1.5 to 2 cc.