curated by Dr. Dirk Clevert
June 30, 2021

Labs: the inflammatory markers do not detect inflammation.

39-y/o male patient came to our emergency department due to sudden pain in the lower part of the abdomen.

An unclear liver lesion is found and CEUS is recommended. What do you see?

Findings:

A baseline ultrasound examination was recommended for follow-up.

Echographic findings: In the right liver lobe, conventional sonography delineates a 6 cm hypoechoic lesion with cystic areas.

After the native ultrasound examination, CEUS was recommended. The lesion does not show any contrast uptake.

What is your diagnosis?

Unenhanced Images

Choose your diagnosis:

Did your diagnosis change?
Enhanced Images

Choose the final diagnosis:

Results

Case3_unenhanced Case3_enhanced

Diagnosis

#echinococcosis alveolaris.

The serology test confirmed the diagnosis.

CEUS depicts a safe method for the evaluation of echinococcal liver disease. In addition to serological tests and grey scale ultrasound, CEUS imaging could be integrated as an easily accessible tool helping to describe hypervascularization as a sonomorphological correlate for active perilesional inflammation of echinococcal manifestations.

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