Appendicitis - perforated
Abdominal pain - 2 days
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Appendix is visualized in its entire length. There is a focal area of loss of gut signature sign in the appendix consistent with perforation and an adjacent collection. On compression, echoes appear to move from appendix perforation to adjacent collection.
Echogenic, inflammed periappendiceal fat and reactive nodes are present.
Appendiceal wall vascularity is preserved.
No fecolith is noted.
Findings favor appendicitis with perforation and local collection.