Case Report: Malignancy-mimicking imaging appearances of hepatic parasitic diseases - Takeaways - MDSpire

Case Report: Malignancy-mimicking imaging appearances of hepatic parasitic diseases

  • By

  • Chunyuan Luo

  • Hualin Yan

  • Yang Pu

  • Yan Luo

  • May 7, 2026

  • 0 min

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  • 1

    Imaging features of hepatic parasitic infections can mimic those of malignancies, complicating diagnosis and increasing misdiagnosis risk.

  • 2

    A 38-year-old woman with a left hepatic mass was initially suspected to have intrahepatic cholangiocarcinoma based on CT findings.

  • 3

    Contrast-enhanced ultrasound revealed atypical vascular patterns, suggesting a diagnosis of hepatic paragonimiasis rather than malignancy.

  • 4

    Histopathological analysis confirmed necrotizing granulomatous inflammation, leading to a presumptive diagnosis of focal hepatic schistosomiasis.

  • 5

    The case highlights the importance of considering atypical parasitic infections in differential diagnoses to avoid misdiagnosis and ensure proper treatment.

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