male patient 61 year old presenting with Disturbed conscious level, fever, Acute kidney injury, discovered to have multilobular hepatic focal lesion ? liver abcess and basal lesions in the right lung, the patient is for CT chest, to know the nature of the focal lesions ?hydatid? and for Aspiration of the focal lesion of the liver for chemistry, cytology, pathology after exclusion of hydatid disease
Exclude chronic kidney disease, for total calcium, phosphorus, uric acid 
continue on IV antibiotics, fluids