School ager with right lower quadrant pain

CT of epiploic appendagitis
Coronal (above left and above middle) and sagittal (above right) CT with contrast of the abdomen shows a fat-density ovoid lesion adjacent to the ascending colon with a thin high-density rim and surrounding inflammatory fat stranding and mild colonic wall thickening. The axial CT (below) shows the lesion to have a central hyperdense dot.

The diagnosis was epiploic appendagitis.