This was a 55 year old lady who presented with history of acute RIF pain 10 days ago and a dull pain at present.
On clinical examination a mass was palpable in the Right iliac fossa.
Ultrasound of the liver, gall bladder , pancreas and spleen revealed no abnormality.
The uterus and ovaries were shrunk.
The left kidney showed an incidental simple cyst.
The RIF showed the inflamed appendix communicating with an appendicular mass beneath it.
The following shows the colour Doppler findings.
The following shows the 3 d findings .
The ultrasound diagnosis was acute appendicitis with appendicular mass.