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Fig. 4D. —Right lower quadrant stranding or fluid and normal-caliber appendix. 60-year-old woman presented with right lower quadrant pain, fever, and leukocytosis. CT scan showed thickening of cecum and ascending colon (arrow, C). Appendix (arrowhead, D) is gas-filled and normal in caliber. Patient was shown to have cecal infarction at surgery.