Hydatid cysts

Case contributed by Dr MT Niknejad

Presentation

Work up for abdominal pain.

Patient Data

Age: 85 years
Gender: Female
CT

A 115×100×95 mm thick walled cystic lesion is noted at the right liver lobe without apparent enhancing solid component or calcification. Mild adjacent intrahepatic bile ducts dilatation is evident most likely due to the pressure effect.

In addition, several small cystic lesions are seen in the porta hepatis and peripancreatic regions less than 20 mm in diameter.

In imaged portions of the lower thorax; a 25×18 mm cystic lesion is noted at the right lung.

Case Discussion

Hepatic, peritoneal, and pulmonary cystic lesions; consistent with hydatid cysts, confirmed with serology. 

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