PMC3472730_01
Horizontal abdominal MRI image in May 2006 shows multiple solid nodules in the right lobe of the liver (arrows indicated).
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Abdominal ultrasonography and magnetic resonance imaging (MRI) showed multiple heterogeneous solid nodules in the right lobe of the liver (Figure 1).
Profound Aspergillus hyphae were observed in the necrotic liver specimen. Magnification at 400x, bar = 200 mum.
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On histopathological examination, abundant fungal hyphae were observed in the background of necrosis and chronic inflammation (Figure 2).
After receiving two courses of caspofungin acetate first-line therapy, follow-up horizontal abdominal MRI image showed evident remission.
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Two months after the initial diagnosis, repeated MRI images showed a significant reduction in the sizes and number of the liver nodules (Figure 3).