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Malaise and slight fever

    Author: Carlo Catalano, Rome, Italy
    Body Region: Abdomen and Pelvis

    1. Patient presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient presentation

    • An 81-year-old woman reported malaise and slight fever (37.1°-37.3° C) over a period of a few
      weeks.
    • Medical history was unremarkable; in particular there was no history of liver disease, cancer
      or any surgery.
    • Clinical examination revealed mild abdominal pain and a non-specific sensation of distension in
      the right upper quadrant. Laboratory tests indicated a normal erythrocyte sedimentation rate but
      slightly elevated C-reactive protein.
    • Ultrasonography showed a 15-cm anechoic focal liver lesion in the right lobe.
    • Contrast-enhanced CT of the abdomen was performed to investigate further.
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