PMC8320554_01
Chest X-ray showing diffuse patchy and confluent right greater than left airspace disease with consolidation and micronodular densities.
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Chest X-ray in the ED showed diffuse patchy and confluent right greater than left airspace disease with consolidation and micronodular densities (Figure 1).
Computed tomography scan showing hepatic septate collection measuring 7.3 x 6.8 x 5.4 cm.
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COVID-19 pandemic, COVID-19 testing was performed and returned negative. CT chest also showed an accidental collection in the liver (Figure 2).
Computed tomography scan of abdomen showed a rim-enhancing, septate, cystic versus necrotic lesion centered in hepatic segment 4 measuring roughly 5.4 x 7.3 x 7.3 cm (AP x TV x SI) with associated delayed enhancement including delayed hyperenhancement of the rim and no associated capsular retraction.
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As a result, then CT scan of abdomen was obtained and demonstrated a rim enhancing hepatic septate collection measuring 7.3 x 6.8 x 5.4 cm (Figure 3).
Gram stain showing spherules resembling Coccidioides sp (black arrow).
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Gram stain showed spherules resembling Coccidioides sp (Figure 4).