Sagittal CT MPR at the level of the right psoas muscle depicts a fluid-filled, contrast-enhancing dilated structure (blue arrow) with haziness in the mesoappendix (yellow arrow) and edematous thickening of the cecal pole (green arrow).
Axial CT MPR at the level of the iliac crests again shows fluid-filled, dilated vermiform appendix with contrast-enhancing mucosa (blue arrow). A well-marginated, ovoid fat-containing mass off the tip of the appendix with central dotted hyper densities (orange arrow) is also appreciated.
Coronal CT MPR at the level of the great vessels shows contrast-enhancing, round to ovoid lymph nodes in the ileocecal station (yellow arrows) without lymphadenopathy after size criteria. Note focal peritoneal thickening in the right iliac fossa (cinnabar red arrow).
Coronal CT MPR at the level of the symphysis depicts mucosal enhancement of the fluid-filled, dilated vermiform appendix (blue arrows) together with edematous thickening of the cecal pole (green arrow). Focal peritoneal thickening (red arrow) is noted as well as a well-demarcated fat-containing ovoid mass off the tip of the appendix at the antimesenteric site (orange arrow).