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CASE 289: GRAPE'S SIGN in LIVER, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Man 27yo  one  month  ago  pain at  liver  with  low grade  fever.
First visiting of MEDIC ultrasound  liver  was detected  at  segment 7 of liver  multiple  spots,  hypoechoic size of 1-2 cm  with  the round border,  no  rising vessels on Doppler. Elastoscan this lesion was soft  tissue  as  an abscess. 






 Blood test presented  WBC rising and parasite tests were  normal.




One  week later  with  more pain  at liver,   CT scan with CE made image  like  grapefruit   as  an abcess.
Blood tests:  WBC rising  and  more eosinophil, CRP and IgE rising.









What is  your  diagnosis for the case?.

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