PMC7365510_01
Contrast-enhanced computed tomography abdomen showing large liver abscess
TP-10-47-g001.jpg
PMC7365510_01_TP-10-47-g001.jpg
F1
Abdominal ultrasound and contrast-enhanced computed tomography (CECT) scan of the thorax and abdomen revealed a single large abscess of approximately 750 cc volume in the right lobe of the liver with evidence of rupture into the right subdiaphragmatic space [Figure 1].
Magnetic resonance imaging brain (T1 and fluid-attenuated inversion recovery sequence) showing a large space-occupying lesion with perilesional edema involving bilateral frontal lobes showing gadolinium enhancement
TP-10-47-g002.jpg
PMC7365510_01_TP-10-47-g002.jpg
F2
As patient orientation was not improved, magnetic resonance imaging (MRI) scan of the brain was done about 6 days later of initiation of antibiotics, which showed a large, ring-enhancing, intracranial, space-occupying lesion involving the bilateral frontal lobes with significant perilesional edema [Figure 2].
Magnetic resonance imaging brain (T1 and fluid-attenuated inversion recovery sequence) after 4 weeks of abscess drainage showing resolution of brain abscess
TP-10-47-g003.jpg
PMC7365510_01_TP-10-47-g003.jpg
F3
Subsequently, MRI scan of the brain and CECT of the abdomen were repeated, which showed almost complete resolution of brain abscess and minimally organized residual abscess in the liver [Figures 3 and 4].
Repeat contrast-enhanced computed tomography abdomen after 4 weeks of treatment showing minimally organized abscess
TP-10-47-g004.jpg
PMC7365510_01_TP-10-47-g004.jpg
F4
Subsequently, MRI scan of the brain and CECT of the abdomen were repeated, which showed almost complete resolution of brain abscess and minimally organized residual abscess in the liver [Figures 3 and 4].