Evaluation of intrahepatic manifestation and distant extrahepatic disease in alveolar echinococcosis

Figure 4 Male, age 52 years, Han Chinese. A: Abdominal computed tomography (CT) showing the hepatic alveolar echinococcosis lesion in the right liver lobe. echinococcus multilocularis Ulm classification-CT Type IIIb with more solid portions at the edge; B, C: Cranial CT scan showing multiple bilateral cerebellar hemisphere and frontal lobe calcified masses with surrounding edema; D, E: Coronal T2-weighted magnetic resonance imaging (MRI) showing multiple lesions with associated edema; F: Fluid-attenuated inversion recovery MRI showing two lesions with low signal intensity and surrounding edema; G-I: T1-weighted contrast-enhanced MRI showing nodular enhancement of the lesion; J, K: Chest CT scan showing multiple irregular solid nodules in both lungs and some lesions with “empty bubble sign” .