Presentation
RUQ pain and fever 5 days post laparoscopic cholecystectomy
Patient Data
Age: 85 years
Gender: Female
Frontal

Right basal atelectasis and pleural effusion. Lucency with an air-fluid level projected over the RUQ.
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Axial C+ portal venous phase

Large subcapsular hepatic collection containing fluid and gas in the right lobe of the liver (segments 5 and 8) in keeping with an abscess.
Case Discussion
The patient underwent US-guided drainage of the abscess and recovered well, albeit slowly.
M/C/S = E. coli