Hydatid cysts of the sacrum, ileum and L5

In the spine, with hydatid disease, there is typically slow resorption of trabeculae, without bony expansion, with a conglomeration of daughter cysts. This accounts for the multilocular appearance on MR, with high signal intensity on T2-weighted sequences. (Case provided courtesy of Reto Sutter, MD, Leitender Arzt, Radiologie, Uniklinik Balgrist, Zürich)

Hydatid cysts at sacrum, ileum and L5
Part of the on-line supplement to Neuroradiology – The Essentials with MR and CT (© 2015)