I can report a similar case.
I had cracked the crown of the right tooth (first molar #46) when biting on an almond in early summer of 2023. After filling, it cracked again...then I got 24/7 toothache.
First X-ray taken in early September 2023 (and a CBCT scan, which showed a periapical infection, like yours). Interesting that the X-ray did not show the infection.
The CBCT scan did not show a root fracture, but the endodontist suspected one (root fractures have to have a certain width and the CBCT a certain resolution/field of view to image fractures: this is not always possible).
An oral surgeon in my family confirmed what I read in the literature: once one has a periapical infection, a root canal is required. If there is a fracture, the tooth is lost.
Root canal treatment was initiated in early October, however not completed, as pain did not subside within 11 weeks. The tooth was extracted just before Christmas.
The second X-ray was taken just before the extraction. The oral surgeon in my family interpreted a root fracture (though it may be ambiguous). The root clearly shows the infection (black arrow).
The oral surgeon who extracted the tooth reported a root fracture.
I never had any issues with my teeth before and also have my teeth cleaned every 6 months. The root fracture was assigned to bruxism. I recently received a custom-made nightguard to avoid such fractures in the future.
What I learnt...I can quote from a peer reviewed article: "...
They [vertical root fractures] are also difficult to diagnose, as they mimic other conditions. Hence, the diagnosis of vertical root fractures requires more of a predictive rather than a definitive identification. A cumulative assessment of the clinical signs and symptoms and the radiographic features may help us reach a definitive diagnosis..."
Good luck!
P.S. According to the literature I read, a periapical abscess/infection takes 2-10 months to appear radiographically following the pulp infection (inside the root). My dentist spoke of 2-3 months.