Male 62yo, with history of removing biliary stones in liver for 10 years.
Ultrasound in 5 times shows biliary stones intraliver, aerobilia and right liver cyst from liver cirrhosis and splenomegaly patient. Blood tests= WBC:19,800g/L, hs CRP=177.2H. AFP=19.8ng/mL.
He came back Medic for reexamination as pain at RUQ and slight fever in Feb 2018.
Ultrasound suspected a liver tumor with biliary stones and cirrhosis and splenomegaly.
But MRI thought about a new liver abscess with biliary stones of cirrhosis patient.
He entered CR hospital and the results of ultrasound and CT were liver tumor and aerobilia. With the diagnosis of CR hospital on liver tumor necrosis and aerobilia he felt no pain and nor fever after using of prescribed medicine drugs in 17 days.
He came back Medic 2 months later.
Ultrasound detected no liver tumor, only biliary stones and aerobilia.
MRI revealed no liver tumor, and in reviewing, MRI noted a sign of head of cauliflower that means a pyogenic abscess appearing of peripheral lobulated increasing signal intensity on MRI.
SUMMARY: Ultrasound was in mistake as no pay attention of clinical signs. A tumor necrosis could not be in concordance with infectious syndrome. And patients remained quite well because of resolving of liver abscess.
SUMMARY: Ultrasound was in mistake as no pay attention of clinical signs. A tumor necrosis could not be in concordance with infectious syndrome. And patients remained quite well because of resolving of liver abscess.
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