Primary sonographic diagnosis of disseminated muscular cysticercosis

A case of disseminated cysticercosis involving the muscular system and subcutaneous tissues is reported here. To our knowledge, the imaging findings of disseminated muscular cysticercosis have not been reported before. In this case, the correct diagnosis was made on the basis of high-resolution sonography of the subcutaneous tissue and muscles. It showed multiple oval to circular, predominantly anechoic lesions, which were around 1 cm in diameter. Most of these cystic lesions showed a hyperechoic focus within suggestive of a scolex. There was no increased vascularity surrounding the lesions on color Doppler examination. Thus, sonography can primarily make the correct diagnosis of disseminated muscular cysticercosis if such lesions are seen.