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case_images: Chest X ray demonstrates bilateral airspace opacities and well-defined rounded lucency in the liver.
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case_images: Radiological evaluation with a chest x-ray revealed bilateral patchy air space opacities and a well-defined rounded heterogenous hepatic lucency (Fig. 1).
case_images: Abdominal CT demonstrates an abscess 8 cm in diameter in the right liver lobe and air tracking along the hepatic vein.
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case_images: Hepatic pathology was confirmed with an abdominal ultrasonography (US) and a computed tomography (CT) scan that demonstrated a significant right lobe liver abscess 8 cm in diameter with a gaseous core replacing normal hepatic parenchyma and an air fluid levels as well as focal emphysematous air tracking into adjacent hepatic veins (Fig. 2).
case_images: CT pulmonary angiography demonstrates bilateral pleural effusions and filling defects in the right lower lobe pulmonary artery division as well as scattered pulmonary nodules and irregular airspace infiltrates of varying sizes.
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case_images: An urgent CT pulmonary angiography (CTPA) revealed bilateral pleural effusions and filling defects in the right lower lobe of the pulmonary artery denoting probable septic emboli (Fig. 3).
case_images: A and B PET CT FDG uptake scan demonstrates a large lesion in the right liver lobe segment VII, VIII measuring 7 cm by 7.5 cm with increased FDG uptake along its peripheral thick wall with air locules seen within the lesion.
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case_images: There were no other sites with pathologic FDG uptake (Figs. 4 and 5).
case_images: A and B PET CT FDG uptake scan demonstrates an ill-defined collection with peripheral increased FDG uptake and central necrosis, involving gluteus maximus, gluteus medius, and minimus, measuring 15 cm by 8 cm by 15 cm in maximal dimensions. There is also a focal area of fat stranding in the subcutaneous fat of the right gluteal region with peripheral FDG uptake measuring about 5 cm by 3.3 cm by 10 cm in maximal dimensions.
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case_images: There were no other sites with pathologic FDG uptake (Figs. 4 and 5).