25 vear old shepherd presents with dragging discomfort in right Hypochondrium and on examination shows presence of enlarged liver 5 cm below costal margins. The probable diagnosis is?
Ans. (b) Hydatid Cyst* The image shows a CT scan of the liver with classical Cart wheel appearance, suggestive of multiple hydatid cysts. The calcified cysts are left alone as they are dead cysts.* Medical treatment with Albendazole for 21 days is given and surgery is done in case of symptomatic cysts or asymptomatic patient with cyst> 5cm or a non-calcified infected cyst.
Amoebic liver abscess
Hydatid cyst
Pyogenic liver abscess
Hepatic adenoma
Hepatic Tumors, Cysts, and Abscesses