1. E case -2 ESI-PGIMSR And Model Hospital Andheri (East), Mumbai

2. Case history A 39 year old female patient c\o – left upper abdomen pain since one and a half years. The pain was continuous, dull aching – with lump in abdomen since 2 months. On physical examination, abdomen was distended with a tender, palpable mass in the left hypochondriac region The abdominal USG: multiloculated cystic lesion in the left hypochondriac region. Abdominal CT scan showed multiple, complex, cystic hypodense lesions in spleen. Splenectomy was done.

3. Gross.

4. Centrifuged deposits from the fluid aspirated from the cysts showed the following structures. Giemsa stain

5. Pap stain