Appendicitis

Caption: Picture 16. Appendicitis. Normal appendix. Contrast-enhanced fat-suppressed T1weighted spin-echo coronal MRI shows mild enhancement in the unenlarged appendix,
ileum (arrowhead), and cecum.
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Caption: Picture 17. Appendicitis. Periappendiceal abscess. Contrast-enhanced fatsuppressed T1-weighted spin-echo coronal MRI shows fluid collections (long arrows) and a
markedly enhanced pericecal area (short arrows). c=cecum; b=bladder.
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Caption: Picture 18. Appendicitis. Normal appendix. Longitudinal ultrasonography shows
compressible tubular structure with an outer diameter of less than 6 mm (arrows). A=Iliac
artery; V=Iliac vein.
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Caption: Picture 19. A 15-year-old boy with suppurative appendicitis (same patient as Image
20). Aperistaltic, noncompressible, blind-ended, fluid-filled, tubular structure with distinct
appendiceal wall layers (arrows) arising from the base of the cecum is observed on the
longitudinal ultrasound image.

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Caption: Picture 20. A 15-year-old boy with suppurative appendicitis (same patient as Image
19). Inflamed appendix with appendicoliths in the lumen (arrow) is observed on longitudinal
view of a pathologic specimen.