A 50-year-old sheep farmer from rural Wales presents with right upper quadrant pain and an incidental large (12 cm) unilocular cystic lesion in the ri...

Question

A 50-year-old sheep farmer from rural Wales presents with right upper quadrant pain and an incidental large (12 cm) unilocular cystic lesion in the right lobe of the liver on ultrasound. The cyst has a visible double-wall sign and contains internal 'daughter cysts'. Eosinophilia is present. What is the most likely diagnosis?

Accepted Answer

Hepatic hydatid cyst (Echinococcus granulosus)

Answer

Amoebic liver abscess

Answer

Hepatocellular carcinoma

Answer

Simple hepatic cyst

Answer

Pyogenic liver abscess

uk-dtmh MCQ (SBA): Cystic Echinococcosis