{"id":12394,"date":"2022-04-08T00:42:48","date_gmt":"2022-04-08T00:42:48","guid":{"rendered":"https:\/\/lavascular.com\/?p=12394"},"modified":"2022-04-08T02:07:36","modified_gmt":"2022-04-08T02:07:36","slug":"imaging-management-of-hepatic-cysts","status":"publish","type":"post","link":"https:\/\/lavascular.com\/imaging-management-of-hepatic-cysts\/","title":{"rendered":"Imaging Management of Hepatic Cysts"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_65 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6621dcb0de339\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6621dcb0de339\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/lavascular.com\/imaging-management-of-hepatic-cysts\/#Benign\" title=\"Benign:\">Benign:<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/lavascular.com\/imaging-management-of-hepatic-cysts\/#Simple_cyst\" title=\"Simple cyst:\">Simple cyst:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/lavascular.com\/imaging-management-of-hepatic-cysts\/#Benign_complicated_cyst\" title=\"Benign, complicated cyst:\">Benign, complicated cyst:<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/lavascular.com\/imaging-management-of-hepatic-cysts\/#Probably_benign\" title=\"Probably benign:\">Probably benign:<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/lavascular.com\/imaging-management-of-hepatic-cysts\/#Probably_benign_complicated_cyst\" title=\"Probably benign, complicated cyst:\">Probably benign, complicated cyst:<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/lavascular.com\/imaging-management-of-hepatic-cysts\/#Suspicious\" title=\"Suspicious:\">Suspicious:<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/lavascular.com\/imaging-management-of-hepatic-cysts\/#Neoplastic_complicated_cyst\" title=\"Neoplastic, complicated cyst:\">Neoplastic, complicated cyst:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/lavascular.com\/imaging-management-of-hepatic-cysts\/#Infectious_complicated_cyst\" title=\"Infectious, complicated cyst:\">Infectious, complicated cyst:<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 style=\"text-align: center;\"><span class=\"ez-toc-section\" id=\"Benign\"><\/span>Benign:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Simple_cyst\"><\/span>Simple cyst:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>asymptomatic; thin, imperceptible homogeneous wall; unilocular; nonenhancing; not causing biliary obstruction or communicating with biliary system; anechoic on US and\/or low-density fluid (&lt; 20 HU) on CT and\/or fluid signal on MRI. No further imaging follow-up recommended.<\/p>\n<p style=\"text-align: center;\">or<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Benign_complicated_cyst\"><\/span>Benign, complicated cyst:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>asymptomatic; hemorrhagic\/proteinaceous cyst +\/- calcification +\/- thin septations AND nonenhancing; not causing biliary obstruction or communicating with biliary system. No further imaging follow-up recommended.<\/p>\n<p>&nbsp;<\/p>\n<h2 style=\"text-align: center;\"><span class=\"ez-toc-section\" id=\"Probably_benign\"><\/span>Probably benign:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Probably_benign_complicated_cyst\"><\/span>Probably benign, complicated cyst:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>&nbsp;<\/p>\n<p>asymptomatic; equivocally enhancing; thin, regular, possibly enhancing wall; few possibly enhancing septations; no mural nodularity. Consider follow-up US, CT or MRI liver in 6 to 12 months for 2 years, and\/or Surgery referral.<\/p>\n<p>&nbsp;<\/p>\n<h2 style=\"text-align: center;\"><span class=\"ez-toc-section\" id=\"Suspicious\"><\/span>Suspicious:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Neoplastic_complicated_cyst\"><\/span>Neoplastic, complicated cyst:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>&nbsp;<\/p>\n<p>thick, irregular, enhancing wall; multiple enhancing septations; multilocular; mural nodularity. Surgery referral is recommended.<\/p>\n<p style=\"text-align: center;\">or<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Infectious_complicated_cyst\"><\/span>Infectious, complicated cyst:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>&nbsp;<\/p>\n<p>clinical history and signs of infection; peripheral rim enhancement; surrounding edema or inflammation; \u201ccluster of grapes\u201d sign; \u201cdouble target\u201d sign; large unilocular or multilocular cysts +\/- crescentic mural calcifications; multiseptated with daughter cysts. Clinical correlation is recommended.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Benign: Simple cyst: asymptomatic; thin, imperceptible homogeneous wall; unilocular; nonenhancing; not causing biliary obstruction or communicating with biliary system; anechoic on US and\/or low-density fluid [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"jetpack_post_was_ever_published":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[22],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - 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