Presentation
Right upper quadrant pain. Fever with chills.
Patient Data
Liver is mildly enlarged in size with segmental perfusion defect in the arterial phase.
There is an ill defined cystic lesion noted in the segment VI and VII of right lobe of liver.
Internal hypoattenuating contents with thick walls noted.
The innermost wall of the lesion shows early contrast enhancement with persistence on delayed imaging.
There is significant perilesional edema.
No intralesional solid focus / air fluid level seen.
No other similar lesions identified elsewhere in the liver.
Ileocecal junction – terminal ileum thickening with minimal free fluid in pelvis.
Case Discussion
In the context of fever and chills, the finding of a thick walled cystic lesion in the liver is suggestive of an abscess.
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