History of appendicitis treated with antibiotics now with persistent right lower quadrant pain/dullness. Within the right lower quadrant abdomen, there is a tubular, predominantly hypoechoic structure measuring up to 12 mm in diameter which is noncompressible and contains shadowing reflectors compatible with appendicoliths. No adjacent fluid collections are identified to suggest abscess.
Findings compatible with appendicitis of indeterminate chronicity. Discussed with ordering provider, APN FLERICK, THERESA who advised to send patient to emergency department. 