Presentation
Right upper quadrant discomfort in a patient from a rural origin.
Patient Data
Enlarged liver with steatosis (craniocaudal length = 20 cm) with a large well-defined cyst of the left lobe measuring (12 x 10 x 8 cm) with a focal wall calcification. Homogeneous fluid content with no septation or daughter cysts is seen (confirmed by ultrasound, not shown). Another small similar adjacent cyst is noted in the left lobe measuring 20 mm.
A sliding hiatus hernia is noted.
Normal appearance of the gallbladder and biliary radicles.
Case Discussion
CT features most consistent with hepatic hydatid cyst.
The serological tests for hydatid disease were positive in this case.