case_images: PMC11044940_01
case_images: POCUS image A of gas-forming pyogenic liver abscess (GFPLA) demonstrates an ill-defined margin solitary lesion with heterogenous echogenicity. POCUS image B demonstrates brightly echogenic reflectors with posterior reverberation artefacts noted within the lesion. Yellow triangles on both images show the posterior reverberation artefacts.
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case_images: figure-749e349f94dd44dba7689975326da273
case_images: Cardiac POCUS revealed no large valvular vegetation, but abdominal POCUS revealed a solitary liver lesion with the features of an ill-defined margin with heterogeneous echogenicity and brightly echogenic reflectors, with posterior reverberation artifacts noted within the lesion (Figure 1). 
case_images: The size of the GFPLA with distance A measuring 8.3cm, distance B measuring 8.7cm, and distance C measuring 9.0cm.
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case_images: figure-51dc2601237b4133aecedc235391c457
case_images: The size of the liver lesion measured 8.3cm x 8.7cm x 9.0cm (Figure 2) and the colour doppler demonstrated no colour doppler signal within, indicating the absence of central perfusion (Figure 3).
case_images: GFPLA with colour doppler, demonstrating no colour doppler signal within indicating the absence of centralperfusion
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case_images: PMC11044940_01_pocusj-09-16854-g003.jpg
case_images: figure-cc8b9cbfa2b24f4c90c8044e518778e4
case_images: The size of the liver lesion measured 8.3cm x 8.7cm x 9.0cm (Figure 2) and the colour doppler demonstrated no colour doppler signal within, indicating the absence of central perfusion (Figure 3).
case_images: Chest x-ray with gas shadow (depicted by the black arrow) seen beneath the right hemidiaphragm.
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case_images: figure-26fef0ccfe254fbe8f6cf51710d05083
case_images: Chest x-ray (CXR) showed gas shadow beneath the right hemidiaphragm (Figure 4). 
case_images: Pus drained from the gas-forming pyogenic liver abscess (GFPLA) via percutaneous drainage catheter.
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case_images: figure-bd5971d7db1f424fb1a81bc274212c95
case_images: Percutaneous drainage catheters were inserted and pus was drained (Figure 5).