Calcified hydatid cyst

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Non-specific right hypochondrial pain

Patient Data

Age: 65 years
Gender: Female
ct

Four phases study of the abdomen revealed a heavily calcified rounded lesion at the right hepatic lobe which shows no evidence of enhancement or washout in different phases. The liver itself shows fatty changes yet with regular contour and homogeneous density and no evidence of cirrhotic changes. Small right renal stone and left renal cyst are also noted.

Case Discussion

Benign-looking peripherally calcified cystic lesion within the liver (or spleen) is most in keeping with a hydatid cyst. Note the small dots of calcification at the periphery of the lesion which corresponds to scolices (daughter cysts). 

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