Demographics:
40 years old, Male
Indication:
Right upper quadrant pain, jaundice
Findings
- Complex lesion in the right hepatic lobe measuring 5.2 x 4.5 x 4.2 cm with a hyperechoic rim, multiple rounded internal hypoechoic areas, and no internal Doppler flow
- Otherwise normal appearance of the liver
- Small volume perihepatic free fluid
- Borderline dilation of the common bile duct, measuring up to 6-7 mm, without intrahepatic biliary duct dilation
- Normal appearance of the gallbladder and right kidney
- Normal appearance of the visualized portion of the pancreas
Diagnosis
Hydatid cyst
Sample Report
Complex lesion in the right hepatic lobe measuring 5.2 x 4.5 x 4.2 cm with multiple internal cystic areas and no internal vascularity. Differential considerations include a multilocular pyogenic abscess, hydatid cyst, and necrotic/cystic neoplasm.
Mild extrahepatic biliary duct dilation without obstructing mass or stone identified. MRCP or ERCP could provide further evaluation.
Small volume perihepatic free fluid, likely reactive.
Discussion