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A 72-year-old Greek man was admitted to the hospital because of hepatomegaly and a mild elevation of serum liver enzymes. He complained of mild epigastric discomfort, especially after meals. Physical examination showed a moderately enlarged, firm, and nodular liver. His white cell count was 11.8 × 109/l, with 16% eosinophils. A computed tomographic (CT) scan of the liver (figure) revealed large cystic, lobulated structures with daughter cysts, a picture consistent with hydatid disease of the liver. Hydatid disease or echinococcosis was confirmed by a high antibody titer to hydatid antigen.
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