Liver abscess rupture in the pleural space

Case contributed by Maulik S Patel
Diagnosis almost certain

Patient Data

Age: 30 years
Gender: Male

Day 1

ultrasound

Liver abscess in right lobe.

Liver US 4 days later

ultrasound

Rupture of the abscess in the right pleural space. Discontinuity is noted in right hemi diaphragm.

Case Discussion

Liver abscesses on ultrasound are typically poorly demarcated with a variable appearance, ranging from predominantly hypoechoic (still with some internal echoes however) to hyperechoic. Gas bubbles may also be seen. Doppler will demonstrate absence of central perfusion. 

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