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The scientific progress of the last years crucially changed requirements for diagnosis and treatment of hydatid disease of a liver. New aspects of parasite's morphology showed that the result of contemporary methods of the diagnostic imaging is not just verification of a cyst, but a specification of its appearance, sizes, content, form, a presence of endo- and exogenous daughter cysts and a degree of their insertion in the fibrous capsule of the main cyst. Ultrasonography is considered, as the most informative method of visualization supplemented with CT or MRI performed as needed. One should remember that any cystic lesion almost always requires echinococcosis serologic tests to be made. And last but not least is an improvement of the available classifications of hydatid disease of liver that would favor a different ways of treatment of the disease.
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