Pediatric Candidial Liver Microabscesses

Etiology: Candida infection in immune suppressed patient affecting lungs, liver, spleen, kidneys
Imaging CT: Tiny pulmonary nodules, low density lesions in liver or spleen or kidneys
DDX: If microabscesses seen in immune competent patient think of cat-scratch disease due to Bartonella henselae
Complications:
Treatment: Antifungal therapy
Clinical:

Radiology Cases of Candidial Liver Microabscesses

US of candidial microabscesses in spleen — Transverse (left) and sagittal (right) US images of the spleen show multiple, round anechoic lesions within the spleen.

CT of candidial microabscesses in lung, liver and spleen — Axial CT of the chest without contrast (above) shows a round lesion in the base of the left lung. Axial CT with contrast of the abdomen (below) shows multiple low density round lesions of various sizes, but that are primarily small, in the liver and in the spleen.