Acute appendicitis with appendicolith
12 y/o female with abdominal pain, nausea and vomiting for 2 day
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An appendicolith is identified in the appendix S. A thickened wall of appendix is noted. The diameter is 12 mm with adjacent fat echogenicity.
An appendicolith is a calcified deposit within the appendix, and suggestive of appendicitis, we should image in three planes sagittal, transverse and oblique (oriented perpendicular to the iliac vessels).
An appendicolith gives an acoustic shadow on ultrasound.