<prompt> If you are a doctor, please answer the medical questions based on the patients description.I am a 41 year old female. I ve just had an abdominal ultrasound due to symptoms of an attack twice. Attack in both cases caused extreme, crippling pain beginning in center of chest moving around right side to back and then into all areas of abdomen, nausea, diarrhea, and extreme sweats. Attack lasted 2-3 hours in both cases. The doctor ordered an abdominal ultrasound with the suspicion of gall stones. The ultrasound came back stating: The liver is hyperechoic measuring 14.3cm. There is a 1.0x0.9x0.9 cm cyst in the left lobe. The gallbladder demonstrates no evidence of sludge or stones and a wall thickness of 3.5mm. The common bile duct measures 3.2 mm. There is no evidence of intrahepatic ductal dilatation. Lab test results came back normal. What could this mean? Unfortunately, I had to get my ultrasound results myself as my doctor is not communicating. I would like to know the severity of the problem, is the cyst able to rupture and would the cause of the attack be from the cyst bleeding?  <response>: Thank you for posting your query. Only symptomatic cysts require treatment while asymptomatic hepatic liver cysts require observation and follow up. Most hepatic cysts are filled with fluid. Percutaneous Chat Doctor. However, some cysts may require surgical resection especially cystic tumors. Visit a general surgeon or liver surgeon asap. Hope to answer your concern. Any further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, 