TY - JOUR TI - Fascioliasis: A challenging differential diagnosis for radiologists AU - Preza, O. AU - Klapa, I. AU - Tsiakalos, A. AU - Cokkinos, D.D. AU - Chatziioannou, A. JO - Journal of Radiology Case Reports PY - 2019 VL - 13 TODO - 1 SP - 11-16 PB - EduRad SN - null TODO - 10.3941/jrcr.v13i1.3451 TODO - abdominal pain; abdominal tenderness; adult; Article; bile duct carcinoma; case report; clinical article; color Doppler flowmetry; computer assisted tomography; differential diagnosis; diffusion weighted imaging; endoscopic retrograde cholangiopancreatography; enzyme linked immunosorbent assay; eosinophilia; Fasciola hepatica; fascioliasis; follow up; hemagglutination test; histopathology; human; infection; leukocytosis; liver abscess; liver cell; liver injury; magnetic resonance cholangiopancreatography; male; nausea; neoplasm; nuclear magnetic resonance imaging; positron emission tomography; radiologist; serodiagnosis; thorax pain; thorax radiography; varicosis; vomiting; animal; complication; diagnostic imaging; differential diagnosis; echography; fascioliasis; isolation and purification; liver; parasitology, Abdominal Pain; Adult; Animals; Diagnosis, Differential; Fasciola hepatica; Fascioliasis; Humans; Liver; Male; Ultrasonography TODO - We report a case of a 39 year old male who presented with nausea and right upper quadrant pain. Marked eosinophilia and a hypoechoic liver lesion on ultrasound were identified. The differential diagnosis included neoplasms, infectious diseases and hepatic abscess. Indirect hemagglutination test using purified adult Fasciola hepatica f1Ag confirmed serologic diagnosis of fascioliasis. Radiologists should keep in mind the importance of correlating imaging, clinical and laboratory findings in order to reach the correct diagnosis. © 2019, EduRad. All rights reserved. ER -