PMC7450355_01
ECG: RRS with HLV and negative T wave.
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Electrocardiogram showed sinus rhythm with 110 beats per minute and systolic ventricular hypertrophy (Sokolow score at 37 mm), with a negative T wave (Figure 1).
Frontal chest X-ray: globular appearance of the lower left arch (arrow).
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Frontal chest X-ray showed no lung parenchymal abnormality, no pleural effusion, and normal cardiothoracic ratio with globular appearance of the lower left arch (Figure 2).
Echocardiography: transthoracic apical 4-chamber view showing a large cystic mass splitting the interventricular septum (50 mm/52 mm). HK: hydatid cyst, LV: left ventricle, LA: left atrium, RV: right ventricle, RA: right atrium.
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Transthoracic echocardiography revealed a large cyst measuring 50 mm/52 mm in the middle part of the interventricular septum, crushing left and right ventricular (Figure 3).
Brain scanner: large brain hydatid cyst in the right fronto-parieto-temporal lobe with important shifting of the cerebral hemisphere (10 cm/9.5 cm). HK: hydatid cyst.
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A brain-CT demonstrated a very large cerebral cyst with signs of mass effect (Figure 4).