School ager with right lower quadrant pain Pediatric Imaging Gastrointestinal September 19, 2023August 24, 2023 Axial CT with contrast of the abdomen shows in the right lower quadrant an extremely large, fluid-filled, tubular structure containing several punctate calcifications within it and having some inflammatory changes surrounding it. The diagnosis was acute appendicitis with multiple appendicoliths. Related Published September 19, 2023August 24, 2023