59-year-old female with right upper quadrant pain and history of liver cysts. LIVER: Liver is normal in size and echotexture. There is a large, simple-appearing right lobe cyst measuring 5.4 x 7.2 x 6.3 cm. Compared to measurements obtained on prior study this has enlarged although is little changed from a CT from 2012. Smaller cyst is also identified measuring 1.3 x 1.6 x 1.7 cm in the inferior right lobe. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder is normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted.
Interval increase in size of larger hepatic cyst compared with most recent ultrasound although not significant change from remote CT. This remains simple in appearance without wall thickening or mass. Occasionally, a large biliary cystadenoma may have this unilocular appearance.