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Get access to free live lectures, every week, from top radiologists.
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Dr. Resnick's MSK Conference
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Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
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Pediatric Imaging
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Supplement your training program with case-based learning for residents, registrars, fellows, and more.
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Upskill in high growth, advanced imaging areas.
Emergency Call Prep
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6 topics, 10 min.
7 topics, 17 min.
5 topics, 10 min.
0:01
So there are multiple different masses
0:02
that can occur in the appendix itself.
0:04
One of the most common that
0:05
you'll see is the mucocele.
0:08
And what happens here is the appendix
0:09
dilates and becomes distended with mucus.
0:11
And in this case, it's a sterile mucus,
0:13
not inflammatory or infected mucus.
0:16
And what you'll see in these
0:17
cases is the appendix usually
0:19
dilates more than one centimeter.
0:22
It often narrows towards the tip of
0:24
it, and the wall can variably calcify.
0:27
So in this image right here, you're
0:29
seeing this very dilated tubular.
0:31
A little bit of calcification within
0:33
the wall here and inside of it
0:36
as well, but very, very dilated.
0:38
I apologize for the quality of this image.
0:40
This was an outside exam
0:42
that got pushed into our system.
0:44
So it's a little bit pixelated, but it
0:46
shows you a nice and beautiful example.
0:48
Of a mucocele here and other things to note.
0:50
There's no inflammation around it.
0:52
This is not an acute appendicitis.
0:54
It is not a sequel cancer to speak
0:55
himself with the oral contrast on board.
0:58
You can see it's nice and thin-walled.
0:59
Here's your T I right here.
1:01
There's no lymphadenopathy.
1:02
You just have this dilated
1:04
fluid-filled appendix.
Interactive Transcript
0:01
So there are multiple different masses
0:02
that can occur in the appendix itself.
0:04
One of the most common that
0:05
you'll see is the mucocele.
0:08
And what happens here is the appendix
0:09
dilates and becomes distended with mucus.
0:11
And in this case, it's a sterile mucus,
0:13
not inflammatory or infected mucus.
0:16
And what you'll see in these
0:17
cases is the appendix usually
0:19
dilates more than one centimeter.
0:22
It often narrows towards the tip of
0:24
it, and the wall can variably calcify.
0:27
So in this image right here, you're
0:29
seeing this very dilated tubular.
0:31
A little bit of calcification within
0:33
the wall here and inside of it
0:36
as well, but very, very dilated.
0:38
I apologize for the quality of this image.
0:40
This was an outside exam
0:42
that got pushed into our system.
0:44
So it's a little bit pixelated, but it
0:46
shows you a nice and beautiful example.
0:48
Of a mucocele here and other things to note.
0:50
There's no inflammation around it.
0:52
This is not an acute appendicitis.
0:54
It is not a sequel cancer to speak
0:55
himself with the oral contrast on board.
0:58
You can see it's nice and thin-walled.
0:59
Here's your T I right here.
1:01
There's no lymphadenopathy.
1:02
You just have this dilated
1:04
fluid-filled appendix.
Report
Faculty
Kathryn McGillen, MD
Assistant Professor of Radiology, Medical Director of Ultrasound
Penn State University Milton S Hershey Medical Center
Tags
Neoplastic
Gastrointestinal (GI)
CT
Body
Appendix
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