A Case of Necrotic Metastases Imitating Hepatic Abscesses in a Patient With Multiple Primary Cancers

This case report highlights the diagnostic challenges in a 72-year-old female with a complex medical history, including metastatic stage IV squamous cell carcinoma of the right lung, invasive ductal carcinoma of the left breast, and recent acute illnesses. Initially, imaging studies suggested metastatic disease in the liver, but subsequent findings raised suspicion for a hepatic abscess. However, further investigations ultimately confirmed necrotic metastatic disease rather than infection. This case underscores the importance of multidisciplinary collaboration and advanced imaging in differentiating metastatic disease from an infectious process.