Hepatic hydatid cyst

Case contributed by Amr Farouk
Diagnosis almost certain

Presentation

Right hypochondrial pain. Patient reported having a hepatic focal lesion in ultrasonography done 15 years ago.

Patient Data

Age: 50 years
Gender: Female
ultrasound

Ultrasound showed a left hepatic lobe well circumscribed mass of dominant echogenic texture with edge shadowing and mild posterior acoustic enhancement.

ct

The liver is enlarged showing a left hepatic lobe segment 4B well circumscribed ovoid cystic like mass; it measures about 3.7 x 3.2 x 4.7 cm along its maximum axial and craniocaudal dimensions. The focal lesion is seen showing incomplete curvilinear mural plaques of calcification with internal peripheral based partially calcified nodules showing faint post contrast enhancement.

Patent homogeneously enhancing portal vein and is main branches as well as its main tributaries.

Case Discussion

Calcified hepatic focal lesion with mural curvilinear calcifications and internal calcific daughter cysts. Imaging findings are suggestive of a hepatic hydatid disease supported by the reported long history as well as positive serological studies.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.