PMC3021273_01
Postero-anterior and lateral chest films showing no active pathology expect for granulomatous disease on the right side.
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F1
Postero-anterior and lateral chest films revealed no active disease expect for granulomatous disease on the right side (Figure 1 A & B).
Ultrasound scan of the abdomen raising the suspicion of a poorly defined fluid collection in the area of the gallbladder fossa (arrow).
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F2
The patient underwent an ultrasound scan of the whole abdomen which raised the suspicion of a poorly defined fluid collection in the area of the gallbladder fossa measuring 3 x 4 x 4 cm (Figure 2).
Computerized tomography (CT) scan of the abdomen with contrast failing to demonstrate any fluid collection in the area of gallbladder fossa.
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F3
However, computerized tomography (CT) scan of the abdomen with contrast failed to substantiate the findings of ultrasonography as no fluid collection was seen (Figure 3).
Technetium-99m HMPAO white cell scintigram showing no evidence of focal inflammation or infection.
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F4
As the patient continued to spike a temperature, a technetium-99m HMPAO white cell scintigraphy was arranged which did not demonstrate any evidence of focal inflammation or infection (Figure 4) which could account for his pyrexia.
Repeat CT scan of the abdomen two months later showing changes around the gallbladder bed indicating an inflammatory type process (arrow) although no definite fluid collection can be seen.
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F5
A repeat CT scan of the abdomen two months later revealed changes around the gallbladder bed indicating an inflammatory process although no definite fluid collection was noted (Figure 5).