Two cases of hepatic fascioliasis with characteristic features in US examin
ations and CT scans are presented. In both modalities they show tunnel-like
branching and clustered areas of low echogenicity/density, which reach sub
capsular regions. These cases are presented to recall the imaging features
in hepatic fascioliasis especially outside endemic regions. Not only CT but
also US is able to detect these characteristic lesions, which may help to
make the diagnosis of hepatic fascioliasis in patients with clinical toms s
uggestive of parasitic disease.