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Dilated appendix with significant surrounding stranding. However, no drainable collection or extraluminal gas can be seen.
The right ovarian vein appears to be distended and have a thick enhancing wall, along with hypodensity in the lumen extending to the middle portion of the vein (the lumen is not enhancing as the contralateral left ovarian vein). The changes of the right ovarian vein are better appreciated on the coronal images.
No abdominal free fluid.
No retroperitoneal or pelvic enlarged lymph nodes.
Interpretation: Features of acute appendicitis complicated by ovarian vein thrombosis.