PMC9386290_01
Ultrasonography showed multiple cysts in the liver (A). Blood flow can be seen in few cysts (B).
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F1
Emergency abdominal ultrasound showed multiple cysts in the liver and hepatosplenomegaly (Figure 1).
Computerized tomography (CT) shows (A,B) multiple hypoechoic lesions scattered in both lobes of liver. Few lesions show "central spot sign," which is more significant in enhanced image (B).
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F2
Then, an abdominal computerized tomography (CT) scan was performed and showed prominent dilation of the intrahepatic bile ducts (Figure 2).
Magnetic resonance cholangiopancreatography (MRCP) of Caroli's disease showed multiple cystic lesions of (A) low intensity on T1-weighted images, (B) high intensity on T2-weighted images and (C,D) connected with the biliary system.
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F3
To make sure of the diagnosis, a magnetic resonance cholangiopancreatography (MRCP) was performed, which revealed multifocal dilatation of the intrahepatic bile ducts associated with hepatomegaly (Figure 3).