{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:18:18Z","timestamp":1787804298281,"version":"build-2784847793"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A woman in her 40s presented with progressive dyspnoea and cough, preceded by anorexia and significant weight loss. Initial chest radiography showed apparent elevation of the right hemidiaphragm with right lower zone opacification, raising concern for thoracic or intra\u2010abdominal malignancy. Laboratory investigations revealed severe normocytic anaemia, leucocytosis, hypoalbuminaemia and elevated alkaline phosphatase. Contrast\u2010enhanced CT demonstrated a large subcapsular right hepatic abscess with contiguous transdiaphragmatic extension into the right lower thorax, complicated by lung abscess and pleural empyema. Blood and liver abscess cultures were negative; the liver aspirate was obtained after 7\u2009days of antimicrobial therapy. She was treated with antimicrobial therapy and image\u2010guided liver abscess drainage, achieving sustained clinical and biochemical recovery, with ultrasonographic resolution of the hepatic collection. This case highlights the importance of considering a subdiaphragmatic source in patients presenting with lung abscess or empyema adjacent to the right hemidiaphragm.<\/jats:p>","DOI":"10.1002\/rcr2.70730","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T11:41:46Z","timestamp":1787053306000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Culture\u2010Negative Pyogenic Liver Abscess Presenting as Lung Abscess and Empyema Through Transdiaphragmatic Spread"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2584-011X","authenticated-orcid":false,"given":"Zhong Xhen","family":"Khor","sequence":"first","affiliation":[{"name":"Department of Medicine IMU University  Seremban Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai Sheng","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Medicine IMU University  Seremban Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7697-7174","authenticated-orcid":false,"given":"Jia Yi","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Medicine IMU University  Seremban Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0706-4320","authenticated-orcid":false,"given":"Christine Hwee Ming","family":"Tay","sequence":"additional","affiliation":[{"name":"Department of Medicine IMU University  Seremban Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5306-2289","authenticated-orcid":false,"given":"Atiqah Binti","family":"Ayub","sequence":"additional","affiliation":[{"name":"Department of Medicine Hospital Enche Besar Hajjah Kalsom  Kluang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000010628"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/emp2.12412"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3892\/mi.2023.65"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.51.6368"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.114.012078"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2016.10.012"},{"issue":"2","key":"e_1_2_11_8_1","first-page":"46","article-title":"Transdiaphragmatic Liver Abscess Secondary to Streptococcus Milleri in an Immunocompetent Host","volume":"2","author":"Vuong V. 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