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Appendiceal appearances: the great imitator
  1. G Modgil1,
  2. D I Cooke2,
  3. L Newbury3
  1. 1Department of Paediatrics, Musgrove Park Hospital, Taunton, UK
  2. 2Department of Radiology, Musgrove Park Hospital
  3. 3Department of Paediatrics, Musgrove Park Hospital
  1. Correspondence to:
    Dr G Modgil
    Department of Paediatrics, Taunton, Somerset, UK; gitamodgil{at}doctors.org.uk

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A 7 year old boy presented with a four week history of nocturnal back pain, weight loss, lethargy, intermittent temperatures, and new onset of scoliosis. On examination, he was clinically anaemic and cachectic, with widespread lymphadenopathy. There was an ill defined fibrous feeling mass overlying the right 7th–10th postero-lateral rib …

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