Name: Unnikrishnan Pillai

Age: 60 Yrs

Sex: Male

Complaints: RIF tenderness.

Introduction:  RIF: Probe tenderness present. Appendix not visualized. No evidence of free fluid.

Multiple enlarged right iliac lymphnodes noted, largest measuring ~13 x 6 mm with fatty hilum and oval shape.

A well defined heteroechoic solid appearing mass measuring ~4.6 x 2.1 cm noted in the right iliac region. Minimal surrounding vascularity noted.

Case study:

Images

Conclusion: A well defined heterogenous mass in the right iliac fossa with moderate probe tenderness and enlarged mesenteric lymphnodes.  – Features suggestive of appendicular mass.

Suggested CT Abdomen for further evaluation.

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