No enhancing masses noted. There is no biliary ductal dilatation. There is a nonspecific portocaval node. The spleen is enlarged. Abscesses may also occur following hepatic transplantation.
Clinical findings are nonspecific with fever and jaundice being the most common.
Diagnosis is best made by contrast-enhanced CT or ultrasound. Pyogenic abscesses are usually solitary and often multiloculated with thickened enhancing walls. Amoebic abscesses are also solitary lesions. Pyogenic abscesses may be distinguished from amoebic abscesses on the basis of clinical findings. Whereas patients with pyogenic abscesses are usually septic, patients with amoebic abscesses are not, and they usually have a history of travel to an endemic area.