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Transabdominal ultraound revealed a large unilicular cystic lesion in the pelvis without internal echoes, septae or calcifications. Transvaginal ultrasound showed that the lesion is displacing the uterus posteriorly.
Right lobe of liver shows a well defined mixed echogenicity lesion consistent with inactive hydatid cyst (stage CE4 according to World Health Organization 2001 classification of hepatic hydatid cysts). Spleen showed no lesions.
Note coexistent cholelithiasis.