Unmasking an Enigma: The Radiological Spectrum of Disseminated Cysticercosis

Disseminated cysticercosis (DCC) is a rare parasitic infection caused by the systemic spread of Taenia solium larvae. This study presents a retrospective analysis of diverse radiological manifestations in five confirmed cases of DCC. Patients presented with varied symptoms, including localized swelling, pain, tingling sensations, and breakthrough seizures. High-resolution ultrasonography (USG) revealed typical cystic lesions, with or without scolex, surrounded by inflammatory changes or calcifications, while computed tomography (CT) and magnetic resonance imaging (MRI) provided additional confirmation, especially in neurocysticercosis cases. Imaging patterns included myo-cysticercosis, soft tissue cysticercosis, orbital involvement, and nodular-calcified neurocysticercosis. Recognition of these radiologic patterns is vital for prompt diagnosis and appropriate management, particularly in endemic regions. USG proved invaluable as a non-invasive, cost-effective, first-line tool for diagnosing soft tissue involvement, while CT and MRI were essential in evaluating central nervous system (CNS) lesions and disease staging.