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Pulmonary hydatid disease

Case contributed by Anastasiia Kosova
Diagnosis almost certain

Presentation

RVD positive patient presented with murmur, cough, malaise and night sweats for a week.

Patient Data

Age: 8 years
Gender: Male
x-ray

Bilateral well-circumscribed oval-shaped densities occupying almost entire hemithoraces. Mild distal deviation of the trachea at right side. No air bronchogrammes are seen in opacifications. No definite vascular pattern. Findings are suggestive of cystic lesions.

ct

Bilateral well-circumscribed cystic lesions (single lesion on the right side and two lesions on the left side), slightly compromising trachea with mild left-sided perifocal consolidation. Mediastinal and axillary adenopathy. Visible viscera and bones reveal no changes.

Case Discussion

Bilateral pulmonary circumscribed cystic lesions showing water density in close relation to diaphragm are compatible with pulmonary hydatid disease.

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