Presentation
Routine abdominal ultrasound.
Patient Data
Age: 50 years
Gender: Male
From the case:
Multiple biliary hamartomas

Multiple innumerable small simple cysts. No color flow on applying color Doppler.
From the case:
Multiple biliary hamartomas
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Axial T2

Innumerable non-communicating cystic lesions of low signal intensity on T1 images and bright signal intensity on T2 images with no post-contrast enhancement. The cysts are seen scattered on both hepatic lobes giving characteristic 'starry sky' like appearance. No biliary tree obstruction.
Case Discussion
Multiple biliary hamartoma (von Meyenburg complex) is a rare benign congenital malformation of the biliary duct. Usually discovered incidentally on ultrasonography (US).