PMC7467606_01
chest X-ray, bilateral parenchymal infiltrates likely of infective etiology
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F1
An initial chest x-ray revealed parenchymal infiltrates (Figure 1) likely of infective etiology and subsequent radiological workup showed metastatic abscesses in the lungs, liver, lower limb muscle and subcutaneous tissue as well as bone marrow changes suggestive of osteomyelitis.
A, B) CT chest (coronal and axial views): multiple parenchymal and pulmonary nodular lesions, some with air-fluid levels (abscesses), indicated by blue arrows
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F2
Computed tomography (CT) scan of the abdomen showed multiple non-enhancing cystic liver lesions with largest measuring 3.6 x 3.2 cm (Figure 2 A,B, Figure 3 A,B, Figure 4 A,B).
A, B) CT-abdomen: multiple non-enhancing cystic liver lesions with largest measuring 3.6 x 3.2 cm
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F3
Computed tomography (CT) scan of the abdomen showed multiple non-enhancing cystic liver lesions with largest measuring 3.6 x 3.2 cm (Figure 2 A,B, Figure 3 A,B, Figure 4 A,B).
A) post-contrast T1 fat-suppressed MRI image showing bilateral subcutaneous and intramuscular multiple small collections; B) post-contrast T1 fat-suppressed MRI shows subtle enhancement of bone marrow with no cortical break, elevation nor obvious periostitis suggestive of osteomyelitis
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F4
Computed tomography (CT) scan of the abdomen showed multiple non-enhancing cystic liver lesions with largest measuring 3.6 x 3.2 cm (Figure 2 A,B, Figure 3 A,B, Figure 4 A,B).