case_images: PMC3564901_01
case_images: Abdominal CT Scan (1982): alveolar echinococcosis heterogeneous lesion of the right lobe of the liver, including a large necrotic area (N) and a calcified area (C).
case_images: 1476-0711-12-1-1.jpg
case_images: PMC3564901_01_1476-0711-12-1-1.jpg
case_images: F1
case_images: Pathological examination of the lung "pseudo-tumor" and of the surgical biopsies taken after diaphragm incision, as well as the Computed Tomography (CT) images obtained after the operation (Figure 1), confirmed the diagnosis.
case_images: PMC3564901_02
case_images: Thoracic CT Scan (1994): recurrent pulmonary lesion of alveolar echinococcosis after the right lobectomy performed in 1982.
case_images: 1476-0711-12-1-2.jpg
case_images: PMC3564901_02_1476-0711-12-1-2.jpg
case_images: F2
case_images: At the beginning of 1994, thoracic CT-scan showed AE recurrence, as a 45 mm in diameter-lesion in the right pulmonary apex (Figure 2).
case_images: Positron Emission Tomography combined with CT Scan (2011): no FluoroDeoxyGlucose uptake whatever the previously involved organ.
case_images: 1476-0711-12-1-3.jpg
case_images: PMC3564901_02_1476-0711-12-1-3.jpg
case_images: F3
case_images: April 2003. At last follow-up in 2011, there was no evidence of recurrence/relapse, as evidenced by negative PET-CT with conventional and delayed acquisition of the images 3 h after FDG injection (Figure 3), and by negative Em2+ ELISA serology (Bordier Affinity Products, Crissier, Switzerland). At that time, serology was also assessed by E. multilocularis western-blot (LD Bio, Lyon, France) in parallel on two sera: a sample frozen in 1987, and a freshly collected sample.