Fig 2: Figure 2A shows a degenerate cyst wall composed of oedematous villous-like projections.

Figure 2B is a high power view showing the outer cuticular layer (arrowhead), middle cellular layer(arrow) and inner fibrillary layer (*).

The child was therefore, started on albendazole 15 mg/kg/day for one month. A CT scan of the brain was done for intracranial cysticercosis, which revealed a non- specific solitary sub centimeter calcified granuloma abutting the tentorium cerebellum.

On follow up at 4 months of albendazole and prednisone, she was clinically and radiologically much improved. A follow-up CXR showed resolution of pleural effusion and aerated right lung, fig 3.