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Answer: Contrast enhanced axial CT of the pelvis shows the enhancing mildly thickened appendix with a markedly bulbous tip and surrounding inflammatory stranding in the mesenteric fat. Small amount of adjacent loculated fluid may represent phlegmon or early abscess. Findings raise suspicion for ruptured appendicitis with abscess or an appendiceal mass. Given the lack of fever and elevated WBC count in this patient, a mass should be considered.
What is the most common neoplasm to involve the appendix?
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