Female 39 years old Reason: HIV, recurrent fevers, eval splenic fluid collection (abscess vs hematoma) History: see above ABDOMEN:LIVER, BILIARY TRACT: The liver is enlarged. The gallbladder wall is thickened with gallbladder wall edema and some mild pericholecystic fluid. No gallstones are evident. No biliary ductal dilatation. There is a focal mildly T2 hyperintense lesion in segment 5/8 of the liver along its periphery measuring 3.5 x 2.3 cm (image 26/series 601). The lesion shows mild enhancement on portal venous phase imaging. Imaging features are not specific.The hepatic and portal veins are patent.SPLEEN: Spleen is enlarged. Along the posterior aspect of the spleen there is a small fluid collection possibly containing within its capsule measuring 4.1 x 1.7 cm (image 27/series 601). There is a wedge-shaped area of poor perfusion within the splenic parenchyma adjacent to the fluid collection.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No retroperitoneal lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Subcapsular splenic fluid collection possibly representing a peripheral infarction with abscess or hematoma.2.3.5 cm right hepatic lobe lesion with nonspecific imaging features.3.Gallbladder wall edema and associated pericholecystic fluid. Imaging findings are nonspecific but acalculus cholecystitis or cholangiopathy can't have similar features.