The “central dot sign” is a characteristic radiological finding of acute epiploic appendagitis described on CT images [1]. This appearance is generated by a central, hyperattenuating, ill-defined round area within a well-circumscribed fat-density ovoid lesion. This latter is surrounded by a thin hyperdense rim that abuts the large bowel wall. Furthermore, the lesion is associated with fat stranding indicating acute inflammation (Fig. 1) [2].
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