Simultaneous pulmonary and hepatic multiple hydatid cysts

Case contributed by Dr Dylan Kurda

Presentation

Fever and cough. Middle eastern.

Patient Data

Age: 3 years

The CXR shows multiple, well defined, large, rounded opacities, in both hemithoraces. There is no calcification within these opacities. One of these appears to be a cavitating lesion in the right upper-mid zone, with somewhat thick walled and smooth inner margin, showing an undulating/wavy air-fluid level. No pleural effusion. Visualised skeleton appears unremarkable. 

CT of the chest with IV contrast demonstrates multiple hypodense lesions, of fluid attenuation, in both lungs, one of them is cavitating in the apical segment of the right lower lobe. There are few, relatively thick-walled, cystic lesions in the liver (segment VI and VIII).  No ascites in the given images. No pleural effusion. No mediastinal or hillier lymphadenomapthy. 

Appearances are most in keeping with multiple hepatic and pulmonary hydatid cysts. 

Case Discussion

Findings proved postoperatively with cyst fluid analysis: Multiple pulmonary and hepatic hydatid cysts. 

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Case information

rID: 42167
Case created: 8th Jan 2016
Last edited: 5th Apr 2017
System: Chest
Inclusion in quiz mode: Included

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