Visceral larva migrans is a syndrome characteristically involving chil
dren with a history of pica, and usually presents with fever, abdomina
l pain, tender hepatomegaly, and hypereosinophilia. Hepatic granulomas
of visceral larva migrans are rare in adults. We describe three adult
patients with hepatic lesions which on histopathology demonstrated ch
aracteristic granulomas of visceral larva migrans. All patients had ab
dominal sonograms and two had additional MR scans of the liver. Both u
ltrasound and magnetic resonance imaging demonstrated characteristic a
ppearances which have not been described previously (viz., ill-defined
central necrotic areas surrounded by concentric thick walls and perif
ocal edema in the liver parenchyma).