Liver abscess rupture in pleural space

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Fever. Ultrasound 10 days ago showed a right lobe abscess.

ultrasound

Right lobe hepatic abscess volume - about 39 cc.  

There is right sided empyema.

There is a defect in diaphragm.

There was rim of fluid in right subdiaphgramatic space ( image not documented ).

Case Discussion

Ultrasound findings of right lobe hepatic abscess with right sided pleural empyema due to leak of abscess through right hemidiaphragmatic defect.

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