Male 68 years old; Reason: Concern for LVAD drive line infection. Please ultrasound driveline site to assess for fluid collection History: Known pseudomonal skin infection with infected appearing driveline site Surrounding the LVAD drive line within the anterior abdominal wall line is extensive subcutaneous edema with a more discrete complex cystic fluid collection which measures 4.0 x 1.2 x 6.4 cm.
Complex cystic fluid collection adjacent to the LVAD drive line raises concern for an abscess given the the adjacent postprocedural hyperemia, postprocedural hematoma another differential consideration and correlation with patient's clinical history/laboratory values and physical exam recommended.