case_images: PMC9968402_01
case_images: Chest radiograph with large right pleural effusion.
case_images: cureus-0015-00000034258-i01.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i01.jpg
case_images: FIG1
case_images: Chest radiograph revealed a large pleural effusion on the right (Figure 1).
case_images: Axial CT with contrast showing large right pleural effusion and adjacent atelectasis.
case_images: cureus-0015-00000034258-i02.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i02.jpg
case_images: FIG2
case_images: CT of the chest with contrast demonstrated a large right pleural effusion, a 14.2 cm well-defined hypodense lesion in the right liver lobe, pericholecystitis, and cholelithiasis (Figures 2-4). 
case_images: Axial CT with contrast showing 14.2 cm well-defined hypodense lesion in the right liver lobe.
case_images: cureus-0015-00000034258-i03.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i03.jpg
case_images: FIG3
case_images: CT of the chest with contrast demonstrated a large right pleural effusion, a 14.2 cm well-defined hypodense lesion in the right liver lobe, pericholecystitis, and cholelithiasis (Figures 2-4). 
case_images: Axial CT with contrast showing pericholecystic fat stranding (green arrow) and cholelithiasis (red arrow).
case_images: cureus-0015-00000034258-i04.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i04.jpg
case_images: FIG4
case_images: CT of the chest with contrast demonstrated a large right pleural effusion, a 14.2 cm well-defined hypodense lesion in the right liver lobe, pericholecystitis, and cholelithiasis (Figures 2-4). 
case_images: Ultrasound showing well-defined right hepatic lesion with heterogenous echogenicity with thick internal septations.
case_images: cureus-0015-00000034258-i05.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i05.jpg
case_images: FIG5
case_images: Triple-phase liver CT with hypodense right hepatic lobe lesion with ring enhancement on the late arterial phase.
case_images: cureus-0015-00000034258-i06.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i06.jpg
case_images: FIG6
case_images: On the late arterial phase, the lesion showcased ring enhancement (Figure 6), favoring abscess.
case_images: Normal HIDA scan.. HIDA, hepatobiliary iminodiacetic acid
case_images: cureus-0015-00000034258-i07.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i07.jpg
case_images: FIG7
case_images: HIDA scan revealed gallbladder activity and no bile duct obstruction (Figure 7).
case_images: Ultrasound-guided needle aspiration and drain placement of hepatic abscess.
case_images: cureus-0015-00000034258-i08.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i08.jpg
case_images: FIG8
case_images: Interventional radiology successfully placed a hepatic abscess drain via ultrasound guidance on hospital day 9 (Figure 8).
case_images: Liver fluid aspirate - H&E stain 60x magnification showing inflammatory cells (neutrophils, lymphocytes, macrophages, and debris), diagnostic of pyogenic abscess.
case_images: cureus-0015-00000034258-i09.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i09.jpg
case_images: FIG9
case_images: The liver fluid aspirate histopathology was consistent with a pyogenic abscess (Figure 9).
case_images: Markedly reduced size of pyogenic hepatic abscess with drain in place.
case_images: cureus-0015-00000034258-i10.jpg
case_images: PMC9968402_01_cureus-0015-00000034258-i10.jpg
case_images: FIG10
case_images: Repeat CT showed improvement in the size of the hepatic abscess (Figure 10).