1/ We didn’t cover all of this in Ep.4, but the case is a good reminder to think about the various imaging findings in liver infection

Knowing the defining features & ddx of liver abscess; hydatid cysts; and mult small nodules is very useful!

#IDTwitter #IDMedEd #MedTwitter
2/
A lot of info for 1 page but a few 🗝️points:
🔸Pyogenic+amebic liver abscess can be indistinguishable on imaging
🔸Echinococcus: check out the WHO classification
🔸Ddx mul small solid nodular liver lesions has a wide ddx. For ID, includes TB/Bartonella/Disseminated fungal inf
3/
Here is a nice summary article tackling liver infection imaging + potential pitfalls:

pubs.rsna.org/doi/10.1148/rg…

The authors had a flowchart to help think about ddx based on imaging ➡️their 1st branch point = dominant cystic lesion or multiple small solid nodular lesions?
4/
Did you hear about how a liver abscess in the setting of CGD may be unique to a typical pyogenic liver abscess in the episode?

Stay tuned, tomorrow there will be a quick graphic on this to remind you!

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More from @febrilepodcast

11 Feb
1/
Liver abscess is estimated to occur in about 1/3 of patients with CGD. In the episode, we discussed how a liver abscess may have distinct characteristics in the setting of CGD

#IDTwitter #IDMedED #PedsID @ID_fellows

PLA = pyogenic liver abscess Image
2/
PLA in CGD:
📌septate mass surrounded by a thick pseudocapsule
📌Inside=dense inspissated fluid.
📌Can be homogenously enhancing on imaging while small, but then develop mult locules separated by thick enhancing septations with intense halo/rim of enhancement around abscess ImageImage
3/
Read more here about hepatic abscess in pts with CGD:
pubmed.ncbi.nlm.nih.gov/11882760/

pubmed.ncbi.nlm.nih.gov/16861554/ ➡️ look at Fig 3!
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