Liver - Part 4 Flashcards
What is the cause of cysts? (2)
- Acquired secondary to parasitic infection, inflammation, or trauma
- True cyst is caused by a weakening of a bile ductile
What are clinical findings of cysts? (2)
- Asymptomatic
2. Dull RUQ pain
What is the US appearance of cysts? (6)
- Anechoic
- Round- or oval-shaped mass
- Well-defined
- Smooth wall margins
- Posterior acoustic enhancement
- May contain septations or low-level internal echoes
Cystadenoma
Benign neoplasm containing cystic structures within the lesion
What is cystadenoma most common in?
Middle-aged women
What are clinical findings for cystadenoma? (2)
- Hepatomegaly
2. Palpable RUQ mass
What is the US appearance of cystadenoma? (4)
- Multiloculated cystic mass
- Well-defined margins
- Thin septations demonstrating thin wall margins
- Thick septations or mural nodules are suspicious for malignancy
Who is polycystic disease more common in?
Middle aged females
What are the clinical findings of polycystic disease? (4)
- Asymptomatic
- Hepatomegaly
- Palpable RUQ mass
- RUQ pain
What are 3 types of abcesses?
- Amebic
- Fungal
- Pyogenic
What is the most common cause of an abscess?
Ascending cholangitis
What are the causes of an abscess? (4)
- Recent travel abroad
- Biliary infection
- Appendicitis
- Diverticulitis
What are the clinical findings for an abscess? (6)
- Abdominal pain
- Fever and chills
- Leukocytosis
- Elevated alkaline phosphatase
- Jaundice
- Hepatomegaly
What is the US appearance for an abscess? (5)
- Complex mass
- Oval or round shape
- Irregular wall margins
- Usually solitary
- Posterior acoustic enhancement
Which lobe of the liver are abscesses most common in?
The right lobe
- 80%