MRI - MRI
Intrauterine pregnancy confirmed but not interrogated in detail. There is a small volume of free fluid throughout the abdomen, as well as abdominal wall edema. The appendix, lying posterior to the cecum and proximal ascending colon, is abnormal in appearance. It is dilated, thick-walled and edematous. It contains appendicoliths, and the tip shows discontinuity of the wall. As a result of perforation from appendicitis, there is admixed gas and fluid in the right perinephric space. This explains the appearances on the prior ultrasound.