case_images: PMC11342279_01
case_images: Ultrasound images the liver of a patient with Fasciola hepatica. The images show peripheral ill-defined heterogeneous echogenicity in the right hepatic lobe (white thick arrow) and common hepatic duct wall thickening (yellow arrow).
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case_images: PMC11342279_01_gr1.jpg
case_images: fig0005
case_images: Initial diagnosis included gastritis and consideration of a liver abscess, prompting blood work up, stool examination, and an abdominal ultrasound as shown in (Fig. 1) which recommended to have a contrast-enhanced abdominal CT scan (Fig. 2).
case_images: Abdominal MRI images: Axial T2WI (A & E), T1WI (B), DWI (C), Apparent Diffusion Coefficient (D), and fat suppressed T2WI (F) of a patient with Fasciola hepatica. The scans show peripheral subcapsular region ill-defined lesions in the right hepatic lobe which are slightly hyperintense on T2WI and hypointense on T1WI with facilitated diffusion (white thick arrows). Common hepatic duct has wall thickening and internal signal loss (green arrow).
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case_images: PMC11342279_01_gr3.jpg
case_images: fig0015
case_images: Incidental liver lesions on the abdominal ultrasound and CT scan prompted further investigation, including abdominal MRI with contrast and MRCP (Fig. 3) as well as serological tests for Fasciola hepatica and Toxocara.