Ruptured pulmonary hydatid cyst complicated by pneumothorax

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Right-sided chest pain, dyspnea, productive cough, and fever for two weeks.

Patient Data

Age: 15 years
Gender: Female

Right side massive hydropneumothorax with resultant mediastinal shift towards the left side.

Complete collapse of the right lung.

A round lesion with a floating membrane (measuring 6 x 5 x 5 cm) in the collapsed right lung.

Subtle ground glass haziness in the left lung.

Cardiac chambers are well opacified.

Prominent mediastinal and hilar lymph nodes are seen.

Case Discussion

The overall findings are likely to be due to a ruptured pulmonary hydatid cyst.

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