Multiple hepatic hydatid cysts

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Abdominal pain.

Patient Data

Age: 25 years
Gender: Female

Multiple cysts with enhancing thick walls and internal septations & curvilinear hyper attenuating structures are seen at liver parenchyma. Some of them show incomplete peripheral calcification.
 

A 20×16mm well-defined mass is noted at left kidney which enhances less than surrounding parenchyma of post contrast images. The mean attenuation value on non-contrast and PVP delayed post contrast images, measured about 45HU , 110HU and 94HU , respectively . No local invasion or regional lymphadenopathy are seen.
A little amount free fluid is present at posterior cul-de-sac.

Case Discussion

Multiple hepatic hydatid cysts with typical appearance.
Left renal mass; Renal cell carcinoma is probable diagnosis.

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