Evaluation of intrahepatic manifestation and distant extrahepatic disease in alveolar echinococcosis

Figure 5 Male, age 53 years, Tibetan. A, B: Echinococcus multilocularis Ulm classification-computed tomography type IIIb with more solid portions at the edge. The images indicate invasion of the right hepatic vein and inferior vena cava. middle hepatic vein and bile duct at the primary and secondary hilum porta hepatis; C: Multiple cysts surrounded by necrosis and an intense granulomatous reaction characterized by epithelioid cells, multinucleated giant cells, and infiltration by lymphocytes (hematoxylin and eosin, original magnification 40 x).