Benign Flashcards
Simple Hepatic Cyst
Found in covering and lining of liver
Signs and Labs for a Simple Hepatic Cyst
Signs: none, usually asymptomatic
Labs: normal LFT’s
Polycystic Liver Disease
Autosomal Recessive
-60% have associated kidney disease
Signs and Labs of Polycystic Liver Disease
Signs: none, can lead to infection or hemorrhage
Labs: Normal (unless there’s an obstruction)
What else do you eval when you find a Polycystic Liver Disease
Pancreas, Spleen, and Kidneys
Complex Cysts
Hematoma
Amebic Abcess
Pyogenic Abcess
Hydatid Cyst
Hematoma
- its variable appearance
Acute: hyperechoic, first 24 hrs
Subacute: complex and anechoic
Resolving: anechoic with post. Enhancement
Chronic: Anechoic with calcs
Amebic Abcess
Liver parenchyma destroyed by parasites (protozoans)
Signs: bloody diarrhea, weight loss, fatigue and pain
Labs: Leukocytosis
Sono of an Amebic Abcess
Shaggy walls, mass with debris and septations
Pyogenic Abcess
Usually due to infection and/or trauma
Signs: fever, pain, N/V, diarrhea
Labs: elevated LFT, leukocytosis, anemia
Sono of pyogenic Abcess
1cm or larger
Hypoechoic w/out void margins…could be complex
Labs for pyogenic abcess
Increased LFT’s
Leukocytosis
Anemia
What is an Hydatid Cyst of the liver
Worms/parasites live and thrive in the body
Super rare!
Signs: none or a dull abd pain
Labs: none or maybe increased AFP
Water-Lilly sono image
Hydatid Cyst
Examples of solid benign masses
Hemangioma Infantile Hemangioendothelioma FNH Hepatic Adenoma Granuloma
Most common benign liver tumor
Hemangioma
Hemangioma has another name
Cavernous Hemangioma
Signs of a Hemangioma
Asymptomatic
Can hemorrhage
Increased risk with pregnancy
Infantile Hemangioendothelioma
Vascular Tumor, found within 1st 6 months of life
-Presents as CHF
Sono eval infantile Hemangioendothelioma
Large solitary lesions that can hemorrhage centrally…
Possible for necrosis
Increased vascularity
FNH
Focal Nodular Hyperplasia
What is FNH
2nd most common liver tumor
Increased risk with long BC use
2nd most common liver masses
Focal Nodular Hyperplasia
Labs for FNH
No change in labs with no symptoms
