60-year-old female with abdominal pain and polycystic liver disease. Please evaluate. ABDOMEN:LIVER, BILIARY TRACT: Hepatomegaly is again noted likely related to presence of innumerable cystic structures. Large hepatic dome cysts are again noted.The largest is a septated lesion in the mid liver measuring 12.7 x 10.7 x 11.5 cm (series 7 image 18) and has decreased in size (prior 14.1 x 10.3 x 16.7 cm).An adjacent cyst in the posterior right hepatic lobe measuring 6.4 x 6 x 6.1 cm (series 7 image 10) has decreased in size (prior 10.5 x 7.2 cm).The previously described large left hepatic lobe lesion containing complex fluid has resolved in the interval.The cystic lesion in the periphery of segment 3 measuring 2.3 x 1.5 cm (series 7 image 37) has decreased in size (prior 4.2 x 4.0 cm).The remaining cystic lesions measure less than 2 cm.There are a few T1 hyperintense proteinaceous cysts in the right hepatic lobe (series 15 images 28, 32, 61), which show no enhancement on the postcontrast subtraction series.No internal or mural nodular postcontrast enhancement is identified in any of these cystic lesions. Minimal enhancement of a few septations are noted.No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Hepatomegaly with numerous bilobar cystic structures. The largest cysts have decreased in size in the interval. The previously described large left hepatic lobe lesion containing complex fluid has resolved in the interval.