Male 52 years old Reason: Complex liver cysts in 52 male with chronic HCV. Is the liver cirrhotic? History: Follow up complex liver cysts. ABDOMEN:LIVER, BILIARY TRACT: There are four T2 hyperintense lesions within the liver. Two of these measure less than a centimeter and are too small to characterize. The largest lesion is in the left hepatic lobe and measures 1.9 x 1.6 cm (series 8, image 13). The two larger lesions contain thin internal septations without convincing enhancement.Mild prominence of the hepatic fissures suggesting chronic liver disease. Smooth liver contour. No definite evidence of cirrhosis.SPLEEN: No significant abnormality noted. The spleen measures 9.7 cm.PANCREAS: Pancreas divisum noted. No pancreatic duct dilatation.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.
1. Mildly complex T2 hyperintense lesions within the liver. Given the T2 hyperintense signal and the absence of definite enhancement, favor mildly complex cyst. Attention can be paid to these on surveillance liver imaging. 2. Chronic liver disease without definite evidence of liver cirrhosis.3. Pancreas divisum.