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Pulmonary, liver and spleen hydatid cysts

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 65 years
Gender: Male

Two cystic lesions are seen at right and left lung bases measuring 75×63mm and 28×23mm, respectively. Additionally, mild focal bronchiectasis is present at left lower lingular segment.
Degenerative changes as osteophytosis are seen at the thoracic spine.
Multiple thick-walled cystic lesions with internal layer detachment are seen at liver. The largest one measured 100×80mm. 
A 125×115mm thick walled cystic lesion is present at spleen. No calcification or enhancing solid component are seen within. 
Several non-enhanced simple cortical cysts are seen at both kidneys, with maximum diameters of 35mm. 
 

Case Discussion

Features on CT scan are compatible with pulmonary, hepatic & splenic hydatid cysts.

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