Complicated pulmonary hydatid cyst

Case contributed by Dr Pradosh Kumar Sarangi

Presentation

Chest pain, cough for six months.No history of fever, hemoptysis. No past history of tuberculosis.

Patient Data

Age: 25 years
Gender: Male
Modality: CT

Air filled cavitary lesion of approximate size 8*7 cm in right middle lobe containing membrane like structures noted. The cavity communicates with a bronchus. Internal structures of the cavity showed  shift on prone position. Tree in bud sign is seen in right lower lobe, left upper and lower lobe.

Case Discussion

Air filled cavitary lesion with internal membranous structures noted in right middle lobe. Membranous structures moved anteriorly on prone position.There is communication of the cavity with a bronchus. Right lower lobe and left lung field show tree-in-bud sign suggestive of endobronchial spread (rupture of cyst into bronchus).

Patient had peripheral eosinophilia and positive IgG echinococcal antibody.

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Case Information

rID: 41701
Case created: 15th Dec 2015
Last edited: 23rd Nov 2016
System: Chest
Inclusion in quiz mode: Included

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