CTICasesPleural Echinococcosis (Hydatid Disease) with Liver Extension
Imaging findings
CT reveals extensive, loculated pleural thickening, described as "ugly," and a somewhat calcified lesion within the liver. Surgical video confirmed the presence of multiple hydatid cysts ("coccus") within the pleural space.
Key takeaways
This case demonstrates extensive pleural echinococcosis (hydatid disease), likely spread from a known liver lesion through a diaphragmatic defect. The striking surgical visualization of hydatid cysts underscores the parasitic nature of this infection and its potential for transdiaphragmatic dissemination.
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