Primary Splenic Hydatid Cyst: a case report with characteristic imaging appearance

A middle-aged lady presented with pain, tenderness and swelling in the left hypochondrium since one month. She had a history of contact with dogs and grazing animals. Sonography and computed tomography showed the pathognomonic signs of hydatid disease. The patient refused surgical treatment. She was discharged on Albendazole therapy and did not return for a follow up

Pericardial hydatid cyst: an incidental finding

The following case report describes an incidental finding of a pericardial hydatid cyst in a patient who was hospitalised for amoebic liver disease. Although serology was negative for echinococcus, in an endemic area possibility of pericardial hydatid should be considered in differential diagnosis. Considering the potential danger of rupture, with its disastrous consequences, surgery was performed and the cyst successfully enucleated. It is emphasised that multimodality imaging plays an important role in dealing with an asymptomatic but potentially serious lesion when laboratory findings are not helpful

Non-visualization of lung markings below hemidiaphragm in subyle subpulmonic effusion: an old sign resuscitated

To assess the lack of visibility of vascular markings under the hemidiaphragm on a frontal chest radiograph as a sign of pleural effusion, fifteen patients were collected showing this sign. Pleural effusion was diagnosed by ultrasound, comparison with previous or subsequent chest x-ray or computed tomography. Patients in the study group exhibited this sign in the absence of the classical signs of pleural effusion. In the control group, lack of visibility of blood vessels was observed in only 4.2% cases. Non-visualization of vascular markings below the hemidiaphragm should alert the interpreter to the possible presence of pleural effusion and a lateral or decubitus view or ultrasound examination may be carried out to rule out effusion

Retained cardiac missile

A case of retained cardiac missile is reported. Bullet entered the pericardial cavity from below after passing through diaphragm. A small perforation also occurred in the ventricular wall, which was successfully repaired, however bullet could not be retrieved. Patient is well two years after surgery