Indication: Right upper quadrant pain, fever
Sonographic Murphy sign: Negative
Heterogeneous hypoechoic lesion in the periphery of the right hepatic lobe measuring up to 5.5 cm without internal vascularity, concerning for an abscess. Adjacent small volume complex ascites raises concern for intraperitoneal rupture.
Hepatomegaly with coarsened hepatic parenchymal echotexture, concerning for cirrhosis.
No cholelithiasis or evidence of acute cholecystitis.
Right pleural effusion.