EURORAD ESR

Case 13540

Healed hepatic cystic echinococcosis with chronic hydatid cysto-hepato-bronchial fistula

Author(s)
Sergio Savastano, Alessandra Costantini, Leonardo Giarraputo, Dario Giacomini, Stefano Trupiani, Daivide Dal Borgo, Valeria Borile

Ospedale, Radiologia,
Dipartimento di Diagnostica per Immagini;
v.le F. Rodolofi 37
36100 Vicenza, Italy;
Email:sergio.savastano@ulssvicenza.it
 
Patient
male, 73 year(s)
 
 
  • Figure 1
    Plain chest film
     

    PA view shows cardiomegaly; no pulmonary consolidation nor pleural effusion are evident.

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Parasites;

    LL View

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Parasites;

    PA view (magnification) subtle calcifications project beneath the right diaphragm.

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Parasites;
     
     
  • Figure 2
    Contrast-enhanced CT
     

    Nodule with an irregular calcified rim in the hepatic segment VII; an intra-nodular gas bubble and focal disruption of the diaphragm are appreciable.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Parasites;

    Lung window: communication between a small bronchus and the hepatic nodule.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Parasites;

    Lung window: communication between a small bronchus and the hepatic nodule.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Parasites;

    Sagittal reformation demonstrated the cysto-hepato-bronchial fistula; note irregularity and discontinuity of the calcified rim.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Computer Applications-General; Special Focus: Parasites;
     
     
PA view shows cardiomegaly; no pulmonary consolidation nor pleural effusion are evident.
 
LL View
 
PA view (magnification) subtle calcifications project beneath the right diaphragm.
 
Nodule with an irregular calcified rim in the hepatic segment VII; an intra-nodular gas bubble and focal disruption of the diaphragm are appreciable.
 
Lung window: communication between a small bronchus and the hepatic nodule.
 
Lung window: communication between a small bronchus and the hepatic nodule.
 
Sagittal reformation demonstrated the cysto-hepato-bronchial fistula; note irregularity and discontinuity of the calcified rim.
 
 
 
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