47 yr male presented with acute vomiting and abdominal pain
Ultrasound findings:

• Appendix is thickened measuring 10 mm in maximum diameter.
  Mild periappendiceal inflammatory fat stranding noted.
• Focal wall defect measuring 3.8 mm noted near tip of appendix with adjacent contained collection of 5 x 5 mm.
• No evidence of abscess.
•  Features suggestive of Acute appendicitis with contained perforation.