Figure 3b. Normal appendix in a 37-year-old woman in
the second trimester of pregnancy who had RLQ pain. F = fibroid.
(a) Axial single-shot fast SE image shows a prominent appendix
(arrows) with a diameter of 8 mm; however, the lumen is gas filled, and
there is no wall thickening or periappendiceal edema. Two large fibroids
are noted, including a subserosal myoma that protrudes off the uterine
fundus into the RLQ. (b) Steady-state free precession (FIESTA) image
obtained with fat suppression shows the lack of wall thickening more
clearly (small arrows). A small amount of free fluid is present in the
right pelvis (large arrow). The patient’s pain resolved without
surgery or other intervention and was assumed to be due to the fibroids.
(See also Figs E5 and E6 at http://radiographics.rsnajnls.org/cgi/content/full/27/3/743/DC1.)