case_images: PMC8320554_01
case_images: Chest X-ray showing diffuse patchy and confluent right greater than left airspace disease with consolidation and micronodular densities.
case_images: 10.1177_23247096211033051-fig1.jpg
case_images: PMC8320554_01_10.1177_23247096211033051-fig1.jpg
case_images: fig1-23247096211033051
case_images: Chest X-ray in the ED showed diffuse patchy and confluent right greater than left airspace disease with consolidation and micronodular densities (Figure 1).
case_images: Computed tomography scan showing hepatic septate collection measuring 7.3 x 6.8 x 5.4 cm.
case_images: 10.1177_23247096211033051-fig2.jpg
case_images: PMC8320554_01_10.1177_23247096211033051-fig2.jpg
case_images: fig2-23247096211033051
case_images: COVID-19 pandemic, COVID-19 testing was performed and returned negative. CT chest also showed an accidental collection in the liver (Figure 2).
case_images: Computed tomography scan of abdomen showed a rim-enhancing, septate, cystic versus necrotic lesion centered in hepatic segment 4 measuring roughly 5.4 x 7.3 x 7.3 cm (AP x TV x SI) with associated delayed enhancement including delayed hyperenhancement of the rim and no associated capsular retraction.
case_images: 10.1177_23247096211033051-fig3.jpg
case_images: PMC8320554_01_10.1177_23247096211033051-fig3.jpg
case_images: fig3-23247096211033051
case_images: As a result, then CT scan of abdomen was obtained and demonstrated a rim enhancing hepatic septate collection measuring 7.3 x 6.8 x 5.4 cm (Figure 3).
case_images: Gram stain showing spherules resembling Coccidioides sp (black arrow).
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case_images: PMC8320554_01_10.1177_23247096211033051-fig4.jpg
case_images: fig4-23247096211033051
case_images: Gram stain showed spherules resembling Coccidioides sp (Figure 4).