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:
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!
• • •
Missing some Tweet in this thread? You can try to
force a refresh
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
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