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This contrast enhanced computed tomography image shows a large mass within the right lobe of the liver, measuring 17 × 13 cm. Because of the peripheral enhancement of the mass, and the central filling seen on delayed images, this finding was most consistent with giant haemangioma. This presumptive diagnosis was confirmed by a nuclear medicine red blood cell scan. After other infectious causes were ruled out, the patient’s fever was felt to be due to this mass. The patient underwent a right hepatic lobectomy, which he tolerated well. His fevers resolved from postoperative day 3 onwards. He was discharged on postoperative day 8 and remained asymptomatic at his follow up appointments in clinic for two months. The final pathological diagnosis and cause of this patient’s fever of unknown origin was a giant haemangioma with foci of thrombosis and infarction.

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