Dynamic Computed Tomography for detecting pulmonary cysts in canine Paragonimiasis: a case report

An 11-year-old male French bulldog presented with incidental cystic lesions by the pulmonary CT. CT revealed two cysts in the right caudal lobe of the lung that were suspicious for emphysematous lesions. These cysts were divided into an air layer and a soft tissue-like layer. Dynamic computed tomography (DCT) of cysts revealed undulating motion in the soft tissue-like layer. The dog's rearing environment included brackish water, and it was evident that the dog had been eating brackish water crabs from the river. The dog was diagnosed with paragonimiasis. This DCT imaging revealed movement of live worms inside the cysts. This study is the first report that DCT may be useful for differentiating paragonimiasis from other pulmonary lesions.