Appendicitis with fecoliths
CLL on chemotherapy, presents with fevers, lower abdominal pain and peritonism.
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The appendix is dilated, measuring up to 19 mm in diameter with mild surrounding fat stranding. Several calcified fecoliths within the appendiceal lumen, including one measuring 7 mm at the base of the appendix.
No focal collection or extraluminal gas. Small locoregional lymph nodes.
The findings are in keeping with acute appendicitis secondary to fecoliths.