case_images: PMC3664867_01
case_images: PMC3664867_02
case_images: A: Our patient's left hand showing an atrophy of thenar and hypothenar muscles; B: some hydatid cysts which have been removed
case_images: PAMJ-14-118-g001.jpg
case_images: PMC3664867_02_PAMJ-14-118-g001.jpg
case_images: F0001
case_images: Physical examination revealed decreased muscular strength in the fingers mainly in the last fingers of the left hand associated with thenar and hypothenar muscle atrophy (Figure 1).
case_images: Coronal T2 weighted MRI showing hydatid cysts of the pulmonary apex (thin arrow) delineated at the inferior border by an hypointense rim (thick arrow)
case_images: PAMJ-14-118-g002.jpg
case_images: PMC3664867_02_PAMJ-14-118-g002.jpg
case_images: F0002
case_images: This lesion was hyperintense on T2 weighted images and delineated by a hypointense rim with a "bunch of grapefruit" appearance (Figure 2). There was also an invasion of the first and second thoracic vertebrae as well as the corresponding ribs.