EURORAD ESR

Case 15931

Hydatid cyst of thigh

Author(s)
Dr. Amit Achyut Ban1, Dr. Tosha Desai2, Dr. Hiral Parekh3, Dr. Nandini Bahri4, Dr. Nachiket Kaneriya1

1. Resident.
2. Tutor.
3. Professor.
4. Professor and Head of department.

Department of Radiodiagnosis,
Shri M.P. Shah Medical College,
Guru Gobind Singh Government Hospital,
P.N. Marg, Jamnagar, Gujarat, India - 361008.
Email: amit23ban@gmail.com
 
Patient
female, 30 year(s)
 
 
  • Figure 1
    Ultra-sonography of thigh
     

    Ultra-sonographic image of right thigh showing large multi-loculated cystic lesion superficial to the femur.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts; Infection; Parasites;

    Ultrasonographic image of right thigh showing internal echogenic areas within the cystic lesion.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts; Infection; Parasites;
     
     
  • Figure 2
    MR imaging of right thigh
     

    T2-weighted sagittal image showing large multi-loculated cystic lesion involving anterior compartment of right thigh. Blue arrow points to the location of cyst being in inter-muscular plane.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts; Parasites;

    T2-weighted coronal image showing large multiloculated cystic lesion(red arrow) involving right thigh. Small cluster of hyperintense daughter cysts is denoted by yellow arrow.Blue arrow shows the medial displacement...

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts; Parasites;

    T2-weighted axial image showing large multi-loculated cystic lesion involving anterior compartment of right thigh. Small cluster of hyperintense daughter cysts is shown by the red arrow.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts; Parasites;
     
     
  • Figure 3
    Post-contrast MR imaging of right thigh
     

    T1 fat-suppressed post contrast sagittal image showing minimal enhancement of wall of the cystic lesion.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Diagnostic procedure; Special Focus: Cysts; Parasites;

    T1 fat-suppressed post contrast coronal image showing homogeneous enhancement of wall of the cystic lesion.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts; Parasites;

    T1 fat-suppressed post contrast axial image showing homogeneous enhancement of wall of the cystic lesion.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Diagnostic procedure; Special Focus: Cysts; Parasites;
     
     
  • Figure 4
    Histo-pathological specimen of the cystic lesion

    Surgically excised lesion is shown the figure which was confirmed to be in intermuscular plane of anterior thigh region.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: CAD; Procedure: Surgery; Special Focus: Cysts; Parasites;
     
     
Ultra-sonographic image of right thigh showing large multi-loculated cystic lesion superficial to the femur.
 
Ultrasonographic image of right thigh showing internal echogenic areas within the cystic lesion.
 
T2-weighted sagittal image showing large multi-loculated cystic lesion involving anterior compartment of right thigh. Blue arrow points to the location of cyst being in inter-muscular plane.
 
T2-weighted coronal image showing large multiloculated cystic lesion(red arrow) involving right thigh. Small cluster of hyperintense daughter cysts is denoted by yellow arrow.Blue arrow shows the medial displacement of rectus femoris muscle.
 
T2-weighted axial image showing large multi-loculated cystic lesion involving anterior compartment of right thigh. Small cluster of hyperintense daughter cysts is shown by the red arrow.
 
T1 fat-suppressed post contrast sagittal image showing minimal enhancement of wall of the cystic lesion.
 
T1 fat-suppressed post contrast coronal image showing homogeneous enhancement of wall of the cystic lesion.
 
T1 fat-suppressed post contrast axial image showing homogeneous enhancement of wall of the cystic lesion.
 
Surgically excised lesion is shown the figure which was confirmed to be in intermuscular plane of anterior thigh region.
 
 
 
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