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Figure 1. A previously healthy 52-year-old man presented with right-sided pleurisy, fever, and shaking chills for three days. On examination he was febrile and had marked tenderness to percussion over the right lower rib cage. A chest radiograph showed an elevated right hemidiaphragm and several lesions characteristic of septic pulmonary emboli in the left lower lobe (Panel A, arrows). Abdominal ultrasonography demonstrated a large, complex, predominantly hypoechoic mass in the posterior segment of the right hepatic lobe (Panel B, arrows). Contrast-enhanced abdominal computed tomography showed involvement of both the hepatic parenchyma (Panel C, arrows) and the right hepatic vein . . . [Full Text of this Article] |
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