Complicated lung hydatid cyst

Case contributed by Dr Hidayatullah Hamidi

Presentation

Fever, chest pain and productive cough for 14 days, Right side decreased breathing sounds.

Patient Data

Age: 15 year
Gender: Male
CT

There is a large air filled cavitary lesion with internal crumpled membrane in right lung lower lobe. Surrounding mild pneumonitic changes are seen.
Right side mild pleural effusion is seen.
Rest of the Lung fields are clear.
Prominent right hilar and sub cranial lymph nodes are seen. The largest right hilar lymph nodes measures 16 mm in short diameter.

X-ray

Relatively thick-walled air filled cavity in the right hilar and infrahilar region involving medial aspects of right middle and lower zones. 

Case Discussion

Living in an endemic area of echinococcus granulosus and the CT features of crumpled internal membrane, the features are very likely for complicated hydatid cyst with bronchial communication.

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Case information

rID: 82267
Published: 28th Sep 2020
Last edited: 29th Sep 2020
System: Chest
Inclusion in quiz mode: Included

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