A middle-aged man (in his fifties) presented with recurrent right upper quadrant abdominal pain for 5 weeks, associated with nausea, night sweats and low-grade fever. His work involved frequent travel to Indonesia, China and parts of Latin America, although mainly confined to the big cities rather than to rural parts of these countries. He had […]

The same young man from Myanmar mentioned in Vignette 4 was extensively worked up for his fever. Blood cultures were negative. A CT of his abdomen, however, showed the following lesion in his liver. What is the most likely diagnosis and what test(s) would help to confirm it? [Updated 1 November 2014] The CT image […]