A 44-year-old female patient with known PLD presenting with right upper quadrant pain. On the US, a large hyperechoic mass was found in the right hepatic lobe (not shown). Axial plane precontrast T1W MR image shows subcentimeter cysts (arrowheads) and a cystic lesion with hyperintense content (arrows). There was no discernible enhancement on postcontrast series (not shown). Imaging findings were found to be consistent with the hemorrhagic cyst. Follow-up imaging studies demonstrated the decrease in the size of the lesion