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Fellowship Certificate™ Programs
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Noon Conference (Free)
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Dr. Resnick's MSK Conference
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Lower Extremities MRI Conference
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Pediatric Imaging
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Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
6 topics, 10 min.
7 topics, 17 min.
5 topics, 10 min.
0:01
So generally in acute appendicitis,
0:02
the treatment is to go to surgery.
0:04
However, sometimes it can present with
0:06
complications, so it's always important
0:08
for the radiologist to look for this
0:09
and to note it in their reports.
0:11
In this case, as we're following the colon
0:13
down, there's a little bit of motion, as you
0:15
can see here, and right where that appendix
0:19
should be, you can see it coming off.
0:21
The cecum right around here into this
0:24
thickening and inflammatory process right here.
0:27
But now we see a process here with sort of ill-
0:29
defined walls and a few locules of free air.
0:32
It's a developing collection.
0:34
or inflammatory mass.
0:35
At this point, it's not an abscess.
0:37
It doesn't have drain or it
0:38
doesn't have thickened walls.
0:40
It's just kind of this phlegmon,
0:42
inflammatory type mass.
0:43
If you put Hounsfield units on it, they
0:46
should be greater than 20 at this point.
0:48
It's not yet a formed fluid collection.
0:50
Thanks again.
Interactive Transcript
0:01
So generally in acute appendicitis,
0:02
the treatment is to go to surgery.
0:04
However, sometimes it can present with
0:06
complications, so it's always important
0:08
for the radiologist to look for this
0:09
and to note it in their reports.
0:11
In this case, as we're following the colon
0:13
down, there's a little bit of motion, as you
0:15
can see here, and right where that appendix
0:19
should be, you can see it coming off.
0:21
The cecum right around here into this
0:24
thickening and inflammatory process right here.
0:27
But now we see a process here with sort of ill-
0:29
defined walls and a few locules of free air.
0:32
It's a developing collection.
0:34
or inflammatory mass.
0:35
At this point, it's not an abscess.
0:37
It doesn't have drain or it
0:38
doesn't have thickened walls.
0:40
It's just kind of this phlegmon,
0:42
inflammatory type mass.
0:43
If you put Hounsfield units on it, they
0:46
should be greater than 20 at this point.
0:48
It's not yet a formed fluid collection.
0:50
Thanks again.
Report
Faculty
Kathryn McGillen, MD
Assistant Professor of Radiology, Medical Director of Ultrasound
Penn State University Milton S Hershey Medical Center
Tags
Infectious
Gastrointestinal (GI)
CT
Body
Appendix
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