Ciliated hepatic foregut duplication cyst
Unexplained weight loss.
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3.8 cm hyperattenuating cyst in the right lobe of the liver without vascular enhancement. Cyst measures 50-56 Hounsfield units in all phases.
Ciliated hepatic foregut duplication cysts are usually less than 3 cm and are most often located in the subcapsular area of segment IV. Findings on CT vary due to cyst contents ranging from clear serous fluid to denser mucinous fluid. Lesions are usually non-enhancing.
Further evaluation with ultrasound and MRI of the liver is recommended in this case.
Case made with the help of Dr Jayanth Keshavamurthy, Medical College of Georgia, Augusta.
- 1. Amir A. Borhani, Amanda Wiant, and Matthew T. Heller. Cystic Hepatic Lesions: A Review and an Algorithmic Approach. American Journal of Roentgenology 2014 203:6, 1192-1204