Woman 56 yo, pain in RLAQ for 2 weeks, fever and GI tract trouble with diarrhea was treated by antibiotics.
Ultrasound detected one mass at RLAQ, suspected appendicular abscess or coecum tumor (see 4 US pictures).
Blood test WBC= 17K with 17% neutro.
MSCT with CE shows this mass being wall-off by instestine, central part is liquide as pus collection (see 3 CT pictures).
What is your suggestion of diagnosis and what is the another test needed for make sure diagnosis?.