84-year-old female with right upper quadrant pain. LIVER: In the left hepatic lobe (segment 5) is a circumscribed cystic structure with a peripheral hyperechoic rim and shadowing internal calcifications or possibly internal stones which appears intrahepatic and separate from the adjacent gallbladder. The portal vein is patent.GALLBLADDER, BILIARY TRACT: The gallbladder is somewhat patulous in morphology, but no discrete gallbladder stone is identified. The gallbladder wall is normal in thickness.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: A right kidney cyst with thin internal septations measures 2.1 x 1.9 x 1.8 cm. There is no hydronephrosis.OTHER: No significant abnormalities noted.
1.Cystic lesion in segment 5 as described above, for which differential considerations include a hepatic cyst with peripheral calcifications, focal intrahepatic biliary ductal dilation with stones, or less likely an accessory gallbladder.2.Otherwise, no evidence of cholelithiasis or acute cholecystitis.