Unilaterally diffusely bulky and hypervascular right-sided fallopian tube with hypoechoic parenchymal reflectivity and a tortuous curvature that continues from the cornual to the terminal end is noted accompanied by perifocal echogenic omental fat stranding within the right adnexa. The right and the left ovary and the contralateral left oviduct as well as the puerperal, anteverted uterus are unremarkable. No significant lochia or features of retained non-viable products of conception.
The appendix (well applied at the caecal loop) is well visualized, demonstrates diffuse oedematous change and resultant elongation towards the ipsilateral Mc Burney's point/right lateral lumbar region and is surrounded with echogenic reacted omental fats plus scattered peri-appendiceal hypoechoic mesenteric enlarged lymph nodes.
Minimal hypoechoic free fluid is visualized within the retro-uterus pouch and within the proximal hepato-renal space and these features advocate for coexisting postpartum appendicitis-salpingitis.