Hepatic hydatid cysts

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 70 years
Gender: Female

CT scan without contrast study

ct

Two hepatic cysts are seen in segments 6 and 8, measuring 30 and 60 mm, respectively. The largest one has a superficial location. 

Control CT C+ study after 1...

ct

Control CT C+ study after 1 year

Three cysts are seen at liver parenchyma measuring 65 mm (Segment 8), 37 mm (Segment 6) and 10 mm (Segment 7). All of them have thin walls without obvious calcification or enhancing soft tissue component.
Subsegmental collapse is present at the right middle lobe. A few calcified nodules are also observed at lung bases less than 8 mm.
Degenerative changes osteophytosis are seen at the lumbar spine.

Control MRI without c...

mri

Control MRI without contrast study after 2 yrs

Two partially exophytic cystic lesions with fine internal septations and without obvious solid component are seen at liver measuring 70 x 65 mm and 42 x 38 mm. There are also several intrahepatic cysts, less than 15 mm of similar appearance.

Bilateral lung base lesions of peripheral distribution (pneumonia COVID-19?)

Case Discussion

Hepatic cystic lesions most consistent with hydatid cysts. The most common presentation of the hepatic hydatid disease is well-defined encapsulated cystic or multicystic masses.

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.