HomeClinicalMalaise and slight fever

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.