Another perforated appendix with 4.6 cm collection on antibiotics collection 3.6 cm 7 days later with less inflammatory changes. Stable patients with perforation and localized RLQ symptoms can be treated with immediate appendectomy or initial non-operative management. Typically abscess or collection larger than 3cm should be treated with antibiotics first and drainage when possible. . . . . . . . #ultrasound #radiology #imaging #ultrasonido #medical #medicine #ultras #ultrasonography #mri #xray