Female 49 years old Reason: H/o Ovarian cancer s/p resection 1 year ago. Pt found on OSH to have a appendix thickening needs a a peritoneal protocol MRI ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. Segment 7 mildly T2 hyperintense lesion has peripheral nodular enhancement and progressive fill-in and is compatible with a hemangioma. There are scattered small T2 hyperintense foci in the liver compatible with cysts. Hepatic and portal veins are patent. Gallbladder contains sludge. Biliary tree is normal in caliber.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small bowel is normal caliber and course. The colon is nondistended. The appendix is located within the pelvis. It is dilated measuring 11 mm. It has a thick enhancing wall with restricted diffusion. No discrete measurable lesion along the peritoneum.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: No significant abnormality noted. LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Please see aboveBONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Mildly dilated appendix with a thick enhancing wall. Differential considerations include chronic appendicitis or serosal disease. While acute appendicitis is also possibility there is no surrounding fluid to suggest acute inflammation.