50-year old man presented with acute abdominal pain and vomiting.
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Delayed phase MDCT reveals a blind ending structure associated with a high density calculus (appendicolith) in the pericecal region, which is in favour of acute appendicitis.
Note the enhancing, thickened wall of the minimally enlarged appendix, with stranding (edema) in the adjacent mesenteric fat.
Three calcified fecaliths are visible even in topogram.
The abnormal appendix in this case measured more than 15 mm in diameter.