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Figure 3 : Coronal reconstructed images from a CT performed on the same patient confirms the tubular structure as the significantly dilated inflamed appendix (star) with surrounding inflammatory changes (arrowheads).
Longitudinal sonogram of the right lower quadrant (Fig. 1) demonstrates a tubular structure with internal echoes (star) containing a large echogenic focus (arrows) which shadows (arrowheads). Transverse view (Fig. 2) shows the tubular structure in cross-section, with internal echoes (star) and a diameter of 1.4 cm. Additional images showed the structure to be blind-ending (not shown). Coronal reconstructed images (Fig. 3) from a CT performed on the same patient confirms the tubular structure as the significantly dilated inflamed appendix (star) with surrounding inflammatory changes (arrowheads). Another coronal image (Fig. 4) shows a large density (arrow) representing an appendicolith, corresponding to the echogenic structure seen on sonography.
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