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A 53-year-old man presented with a four-week history of abdominal pain and a tender, nonerythematous mass (5 by 5 cm) in the right upper quadrant. He had a temperature of 36.3°C, a leukocyte count of 8100 per cubic millimeter, and normal liver-function tests. A computed tomographic (CT) scan showed a mass in the left lobe of the liver with a thin, linear calcification and invasion beyond the capsule to the abdominal wall. The linear density within the abscess (arrow) was initially thought to be an artifact. A CT-guided biopsy led to drainage of 14 ml of purulent fluid; a Gram's . . . [Full Text of this Article] |