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Caption: Transverse and oblique scans of the right upper quadrant
Description: A tubular fluid distended structure is seen in the right upper quadrant. This structure was not compressible, was tender on scanning and could be traced arising from the right lower quadrant.
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Caption: Scans of the right lower quadrant
Description: The tubular non-compressible structure most likely represents an inflamed appendix. The inflamed appendix can be traced coursing upwards with its tip lying in a subhepatic location, in close proximity to the edge of the liver and lower pole of the right kidney [as marked by the arrows].
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Caption: Views of the right upper quadrant
Description: The inflamed appendix as marked by the arrows is seen here, with the tip of the appendix demonstrating a curvilinear shadowing appendicolith.
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Caption: Photograph of the pathology specimen at surgery
Description: The enlarged and inflamed appendix [measuring approximately 13 mm in length] is seen in this photograph. The ultrasound finding of the subhepatic location of the appendix was confirmed at surgery.
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