Cystic pulmonary hydatidosis

Case contributed by Michael P. Hartung
Diagnosis certain

Presentation

Cough, lung mass on CXR.

Patient Data

Age: 20 years
Gender: Female
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial lung
window
This study is a stack
Sagittal C+
arterial phase
This study is a stack
Coronal C+
arterial phase
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Info

Large cystic mass in the left lower lobe with air-fluid level and decompressed dependent floating membrane. Mild mediastinal and left hilar adenopathy. 

Case Discussion

Massive left lower lobe cystic mass containing a folded floating membrane, characteristic for hydatid cyst which has decompressed into the airway via a bronchiole (and thus contains air). Hydatid disease in the lung is the second most common site after liver. 

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