Hepatic abscess

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Right upper quadrant pain with fever, anorexia and malaise in a diabetic patient.

Patient Data

Age: 65 years
Gender: Male
mri

Lobulated partially septated cystic mass centered on the segments 7-8 of the liver eliciting a low signal on T1, high signal on T2 and T2 fat sat with surrounding edema and restricted diffusion mainly centrally. The postcontrast sequences show a thin rim of peripheral enhancement (capsule).

Case Discussion

The clinical presentation and the MRI features are most consistent with hepatic abscess.

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