Initial CT of the abdomen and pelvis with contrast, coronal view. Impressions: 1) There is an 8 x 8 x 10 cm irregular enhancing hypodense lesion occupying a large portion of the left hepatic lobe. Multiple gas pockets are also present. This finding is concerning for intrahepatic abscesses. 2) 3-mm linear hyperdensity in the region of the duodenal bulb/pylorus that appears to extend through the superior wall into the left hepatic lobe. This may be an ingested foreign body with perforation, causing the intrahepatic abscess. 3) Layering debris in the gallbladder suggestive of stones/sludge. CT: computed tomography