Reason: assess liver cyst for ability to drain History: + polycystic liver cysts, recent drainage of a dominant cyst. Would like to drain adjacent cysts if there is enough fluid LIVER: The liver measures 20.6 cm in length. Numerous cysts of varying sizes and complexity are present throughout the liver as more fully characterized on recent MRCP. Some of the cysts demonstrate mural nodularity but without discernible vascular flow. Some of the cysts demonstrate low level internal echoes. Largest cyst in the left lobe measures 8.2 x 9.0 x 9.7 cm. The largest in the right lobe measures 10.5 x 7.6 x 3.3 cm. Of note, the largest cyst in the right lobe on the recent MRCP measures up to approximately 16.1 cm. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.23 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: The pancreas is largely obscured.SPLEEN: No significant abnormalities noted. The spleen measures 9.2 cm in length. RIGHT KIDNEY: Kidney measures 11.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.6 cm in length. Normal cortical echotexture. No hydronephrosis. Superior pole cyst.OTHER: No significant abnormalities noted.
Numerous hepatic cysts of varying sizes and complexity as described above. Given complexity, follow-up with MRCP can be considered as clinically warranted.