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A 3-month-old child with failure to thrive. a Ultrasound shows a hypoechoic lesion in the right lobe with central hyperechoic area. b Portal venous phase CT reveals a small hypodense lesion in the right lobe with concurrent splenic lesions. c A large necrotic lymph node (asterisk) is also identified. d Histopathology from the hepatic lesion revealed a giant cell granuloma. This was a case of vertical transmission as mother was an active case of tuberculosis during pregnancy and delivery
