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Case of the Month #1

Clinical information:

Clinical: 33 y/o female presents with fever and RUQ pain. Outside ultrasound performed demonstrates no gallstones, with a hypoechoic mass within the anterior and inferior right hepatic lobe adjacent to GB.

History: positive for travel in Northern Africa, Middle East and Mediterranean.

PMH: noncontributory
PE: VS WNL, afebrile, normal CBC.

CT findings suggest the presence of…?

Tuberculous meningitis
Primary brain neoplasm
Subarachnoid hemorrhage
Subdural hematoma