The diagnosis can be made by identifying multiple everted scolices (protoscoleces) within a large cystic structure. This differs from cysticercosis in which there is only a single protoscolex in each cyst. Note the presence of calcareous corpuscles throughout the stroma which is seen with all cestodes.
The CDC DPDx website has great macroscopic pictures of coenurosis which you can see HERE.
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