 [ Symptoms ] what is appendicolith i had a ct done for pain that i have in the lower right abdomen the finding is appendicolith is present in the distal tip of the appendix what does all of these means  do i need surgery  [ Disease ] a lith is a stone in your case the stone is in the distal end of the appendix this does not mean you will need surgery unless of course you have appendix pain appendicitis