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Intense acute left iliac fossa pain.
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
Persistent echogenic fat seen in the left iliac fossa at the site of maximum probe tenderness.
Fat stranding is seen adjacent to descending colon with a fatty locule seen with surrounding hyperdense rim. Oblique MPR reveals the characteristic central hyperdense dot.
This case illustrates the typical findings of epiploic appendagitis. The fat stranding is closely opposed to the colonic wall with no evidence of diverticula. Further, there is no adjacent bowel thickening.