RADIOLOGY: GASTROINTESTINAL: GI: Case# 33729: APPENDICITIS. 29 year old female with right lower quadrant pain. 1. Infiltrative changes in the region of the appendix with surrounding free fluid and secondary thickening of adjacent bowel wall. These findings are suspicious for appendicitis given the patients clinical history of elevated WBCs and pain. 2. 3 x 5 cm left ovarian cyst.