title: Pleuropulmonary and abdominal paragonimiasis: CT and ultrasound findings.
abstract: OBJECTIVE
  The purpose of this study was to review radiological images of patients with Paragonimus westermani (PW) that simultaneously involved the chest and abdomen.
  
  
  METHODS
  Our study included four patients with serologically and histopathologically confirmed paragonimiasis. Abdomen CT (n=3) and chest CT (n=3) scans were available, and abdominal wall ultrasonography was performed in all patients. We retrospectively reviewed the clinical, radiological and histopathological findings of these patients.
  
  
  RESULTS
  The most common abdominal CT findings were ascites and intraperitoneal or abdominal wall nodules. Low-attenuated serpentine lesions of the liver were another common and relatively specific feature.
  
  
  CONCLUSIONS
  Radiologists should consider the possibility of PW when these abdominal CT findings are noted, especially with pleural effusion or subpleural nodules in patients with initial abdominal symptoms.
authors.affiliation: Department of Radiology, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Republic of Korea. sinisim@ewha.ac.kr
authors.forename: S S
authors.initials: SS
authors.lastname: Shim
authors.forename: Y
authors.initials: Y
authors.lastname: Kim
authors.forename: J K
authors.initials: JK
authors.lastname: Lee
authors.forename: J H
authors.initials: JH
authors.lastname: Lee
authors.forename: D E
authors.initials: DE
authors.lastname: Song
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D000328:Adult; D000818:Animals; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010237:Paragonimiasis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D048492:Paragonimus westermani; D010996:Pleural Effusion / Q000000981:diagnostic imaging; D011860:Radiography, Abdominal; D013902:Radiography, Thoracic; D013896:Thoracic Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography