Ruptured renal hydatid cyst
40 Y/O female with left flank pain and haematuria.
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Large multiloculated cyst with thick septa and higher internal density is seen at middle and lower pole of the left kidney. There is also hydronephrosis and several small stones on the same side. The right kidney is also involved. No evidence of hydroureter or ureter stones.
There is multiloculated cystic lesion with thick septums and higher internal density on the left kidney which resultant hydronephrosis . Urine analysis shows hydaturia which is a pathognomonic sign of renal hydatidosis and results from the rupture of a hydatid cyst into the collecting system.