A 48-year-old woman was admitted to our institution with right upper quadrant abdominal pain. The patient also had mild dyspnea. An examination revealed no significant findings except for a right subcostal surgical incision due to cholecystectomy performed 10 years ago.On performing chest radiography, rise of the right diaphragm to the superior was detected (Figure 1). A hepatobiliary ultrasound examination revealed a mostly cystic lesion with some hyperechoic structures in the liver. On performing contrast-enhanced abdominal computed tomography, a mostly cystic lesion, approximately 15.2×14.2×12.8 cm in diameter, having an appearance similar to the detached membranes of a hydatid cyst and indicating a typical type II hydatid cyst was detected in the liver (Figure 2a). Mediastinal shift and atelectasis of the lower lobe of the right lung were also present (Figure 2b).With a preliminary diagnosis of a type II hydatid cyst, percutaneous treatment was planned to be performed in the interventional radiology department.

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Necrotizing fasciitis and/or Fournier's Gangrene is a rare, life-threatening soft tissue infection that, if not treated promptly, can immediately develop into systemic toxicity. It affects the genital, perineal, and perineal tissues, predominantly affecting men but can be seen in women. The diagnosis is often made clinically but radiologic examinations are helpful to determine the extent of the infection and can aid preoperative planning. Treatment consists of immediate and aggressive surgical debridement of necrotized tissue, broad-spectrum antibiotics, and early resuscitation. Here, we present a 56-year-old male patient with Fournier's gangrene and describe the physical examination, bedside sonographic, and computed tomography findings. These findings can aid in the evaluation of patients with worrying symptoms so that antibiotics can be administered immediately and specialists can be consulted as needed.