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.
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.
Choose your diagnosis:
Choose the final 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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