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World J Radiol. Jun 28, 2016; 8(6): 581-587
Published online Jun 28, 2016. doi: 10.4329/wjr.v8.i6.581
Imaging in pulmonary hydatid cysts
Mandeep K Garg, Madhurima Sharma, Ajay Gulati, Ujjwal Gorsi, Ashutosh N Aggarwal, Ritesh Agarwal, Niranjan Khandelwal
Mandeep K Garg, Madhurima Sharma, Ajay Gulati, Ujjwal Gorsi, Niranjan Khandelwal, Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
Ashutosh N Aggarwal, Ritesh Agarwal, Department of Pulmonary Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Mandeep K Garg, Additional Professor, Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India. gargmandeep@hotmail.com
Telephone: +91-172-2756380 Fax: +91-172-2744401
Received: September 25, 2015
Peer-review started: October 3, 2015
First decision: October 27, 2015
Revised: March 5, 2016
Accepted: March 22, 2016
Article in press: March 23, 2016
Published online: June 28, 2016
Abstract

Hydatid disease is a zoonosis that can involve almost any organ in the human body. After the liver, the lungs are the most common site for hydatid disease in adults. Imaging plays a pivotal role in the diagnosis of the disease, as clinical features are often nonspecific. Classical radiological signs of pulmonary hydatid cysts have been described in the literature, aiding in the diagnosis of the disease. However, complicated hydatid cysts can prove to be a diagnostic challenge at times due to their atypical imaging features. Radiography is the initial imaging modality. Computed tomography can provide a specific diagnosis in complicated cases. Ultrasound is particularly useful in peripheral lung lesions. The role of magnetic resonance imaging largely remains unexplored.

Keywords: Pulmonary, Hydatid, Cyst, Radiography, Computed tomography

Core tip: The lungs are the second-most common site for hydatid disease in adults. The classical radiological signs of pulmonary hydatid cysts have been described in the literature. In this article, we have comprehensively reviewed the various radiological signs and presentations of pulmonary hydatid cysts. We have also described atypical imaging manifestations of the disease. Radiologist should be familiar with the spectrum of the imaging findings in pulmonary hydatid cysts.