Male 85 years old reevaluate complex liver cyst. ABDOMEN:LIVER, BILIARY TRACT: The previous seen left hepatic mass measures 8.5 x 6.8 x 8.3 cm (series 6, image 15 and series 3, image 11), previously 8.1 x 6.5 x 7.3 cm. It is intermediate signal intensity on T2 weighted images and heterogeneously T1 hyperintense with no enhancement. Thin enhancing septations are seen within the structure. There is no nodular enhancement.. An adjacent bilobed cyst and a segment 7 cyst are unchanged. Punctate low T1 and low T2 foci with no enhancement may represent scattered granulomas or other calcifications (for example series 6, image 15). No new hepatic lesion.The gallbladder is normally distended without cholelithiasis. 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: Stable bilateral renal cysts including the left upper pole cyst that contains a thin, nonenhancing septation. Two subcentimeter T1 hyperintense, T2 hypointense, nonenhancing lesions in the inferior pole of the left kidney are also unchanged and compatible with hemorrhagic/proteinaceous cysts. No suspicious renal lesion No hydronephrosis.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.
Since the prior MRI there has been a slight interval increase in size of the cystic liver lesion with thin enhancing septation and findings indicating interval hemorrhage or accumulation of proteinaceous content. The differential again includes a complex hepatic cyst or biliary cystadenoma.