PMC6831802_01
CT Abdomen showing a cyst in the left lobe of the liver with the presence of a "water-lily sign".
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A CT of her abdomen showed cyst formation in segments 2 and 3 of her liver measuring 5.4 x 4 cm in maximal diameter (Fig. 1).
MRI Liver showing water lily sign in the left lobe of the liver.
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MRI was performed to determine if a cyst leak was present (Fig. 2).
Light microscopy of aspirated contents of the resected hepatic cyst. The image on left (wet mount stained with iodine solution) shows a typical scolex. The image on the right (iron hematoxylin/modified acid-fast combination stain) shows a hooklet (pictures taken at Cadham Provincial Laboratory by K Kadkhoda).
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Microscopic examination confirmed echinococcal infection with hooklets and protoscoloces seen (Fig. 3).