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- FIGURE 52-5. (A) CT scan of the liver shows numerous rounded areas of
- decreased attenuation compatible with the diagnosis of hepatic
- candidiasis. This is a nonspecific finding. (B) Ultrasound examination
- in the same patient shows the typical bull's eye lesion of
- candidiasis, characterized by a central echogenic nidus surrounded by
- a radiolucent halo. This is seen early in the natural history of the
- disease. (C) The radiolucent halo is now less obvious than in B. This
- illustrates the variable appearances of Candida abscesses on
- ultrasound studies at different times in the same patient. (D) Late in
- the course of the disease, the microabscesses become denser (arrow).
- The acoustic shadow posterior to the lesion was caused by attenuation
- of the sound beam (arrowheads). (Thaler M, Pastakia B, Shawker TM, et
- al. Hepatic candidiasis in cancer patients: the evolving picture of
- the syndrome. Ann Intern Med 1988;108:88)
-