Published in:
01-11-2008 | Test Yourself: Answer
Cystic thigh mass in an 18 year old girl: diagnosis and discussion
Authors:
Ozgur Kilickesmez, Neslihan Tasdelen, Mutlu Cihangiroglu, Nil Comunoglu, Tan Cimilli, Nevzat Gurmen
Published in:
Skeletal Radiology
|
Issue 11/2008
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Excerpt
Magnetic resonance imaging (MRI) of the thigh revealed a cystic mass with multiple smaller cysts consistent with daughter cysts. The wall of the parent cyst was hypointense on T2-weighted image and enhanced following contrast material administration. The enhancement of the parent cyst wall was related to the inflammatory changes of the surroinding tissues and also because of the blood vessels providing nutrients to the parasite. The walls of the daughter cysts were not discernible in addition they did not enhance since they were non-vascularized free floating cystic structures in the parent cyst. Diffusion-weighted imaging (DWI) revealed restricted diffusion of the parent cyst. In contrast diffusion was increased in the daughter cysts. Histopathological examination of the cystic mass revealed scolices in laminated fibrous wall of hydatid cyts. The final diagnosis was multivesicular hydatid cyst of the thigh. …
