PMC3664867_01
PMC3664867_02
A: Our patient's left hand showing an atrophy of thenar and hypothenar muscles; B: some hydatid cysts which have been removed
PAMJ-14-118-g001.jpg
PMC3664867_02_PAMJ-14-118-g001.jpg
F0001
Physical examination revealed decreased muscular strength in the fingers mainly in the last fingers of the left hand associated with thenar and hypothenar muscle atrophy (Figure 1).
Coronal T2 weighted MRI showing hydatid cysts of the pulmonary apex (thin arrow) delineated at the inferior border by an hypointense rim (thick arrow)
PAMJ-14-118-g002.jpg
PMC3664867_02_PAMJ-14-118-g002.jpg
F0002
This lesion was hyperintense on T2 weighted images and delineated by a hypointense rim with a "bunch of grapefruit" appearance (Figure 2). There was also an invasion of the first and second thoracic vertebrae as well as the corresponding ribs.