Findings:
Targeted ultrasound of the right lower quadrant was performed. The appendix was not visualized. Gas in the bowel obscures much of the exam. There is no free fluid or evidence of abscess.

Impression:
The appendix is not visualized, though the exam is limited by bowel gas. No free fluid or evidence of abscess.

Recommendations:
For your training purposes, recommendations are not included in this report.