Please help - MRI Liver Cyst Detected

[Brohim_2122]

Please help!!!!!!!

Hi, I recently have an MRI and below is the result. My ultrasound 6 months ago didn't reveal any liver cyst. CT scan in 2019 didn't show any liver cyst. I 've known of the kidney cyst for several years since 2016.  My GI and hepa doc don't seem concern. Could this be related to Hep B progressing? I've had lower level ALT/AST for several years and have been on Tenofovir for 2 1/2 year. HBSag down to 2110 from 3000.  Last AFP 7.1 slightly higher . DCP and AFL3% negative.

Please help make sense out of this.

Thorax: Visualized thorax clear of significant pathology.
Liver: 8 mm T2 hyperintense, T1 hypointense, nonenhancing cyst and segment 7. No
enhancing mass. No biliary dilation..
Gallbladder: No stones or inflammation. Nondistended. This a linear T2 hypointense
structure extending along the anterior wall of the gallbladder from the neck to the
fundus, greatest in thickness at the fundus where it measures approximately 6-7 mm.
This is hyperintense on the Eovist sequences such as series 9, most conspicuous on
image 50.
Spleen: Unremarkable.
Pancreas: Unremarkable.
Adrenal Glands: Unremarkable.
Kidneys: No acute pathology. 1.9 cm simple cyst upper pole left kidney, enlarged from
prior..
Stomach: Unremarkable.
Bowel: No obstruction, inflammation, or mass.
Vasculature: No significant pathology.
Lymph Nodes: No pathologically enlarged or abnormal nodes.
Abdominal Wall: Normal.
Bones: No significant pathology.

Additional Significant Findings: None

IMPRESSION:
1. NO ACUTE ABDOMINAL PATHOLOGY. NO ENHANCING LIVER MASS.
2. BENIGN CYSTS IN THE RIGHT HEPATIC LOBE AND UPPER POLE OF THE LEFT
KIDNEY.
3. INDETERMINATE T2 HYPOINTENSE LINEAR STRUCTURE ALONG THE
ANTERIOR WALL OF THE GALLBLADDER FROM THE NECK TO THE FUNDUS,
GREATEST IN THICKNESS AT THE FUNDUS WHERE IT MEASURES 7 MM. THIS
COULD REPRESENT ARTIFACT FROM BILIARY EXCRETION OF EOVIST, OR
POSSIBLY SOME SORT OF VASCULAR STRUCTURE. LIKELY BENIGN OR
ARTIFACTUAL, BUT A FOLLOW-UP WITH A GALLBLADDER ULTRASOUND IS
RECOMMENDED WITH SPECIFIC ATTENTION TO THE ANTERIOR WALL OF THE
FUNDUS.

[FingHb]

Not the answer you are seeking but what did your doctor say.  Go for a liver biopsy but is far evasive but could help out with your answer. And you getting US looking for cirrhosis and HCC.

Anything that is liver related is most likely Hepatitis B related for sure.  Without hepatitis B, liver injuries are rare unless you have drinking problem, overweight, or other hepatitis.

[Brohim_2122]

See below my last ultrasound 06/2020

EXAM:
US ABDOMEN COMPLETE

CLINICAL HISTORY:
chronic HBV INFECTION/ R/O HCC

COMPARISON:
US ABDOMEN COMPLETE dated 1/11/2019

TECHNIQUE:
Multi planar grayscale and color Doppler sonographic evaluation of the abdomen was
performed.

FINDINGS:
The liver is of normal size measuring 14.4 cm. Echotexture isnormal. There are no focal
lesions. There is Doppler flow in the portal and hepatic veins. There is no intra, or
extrahepatic biliary dilatation. The common duct measures 3 mm at the porta hepatis.
Gallbladder is not distended. There are no gallstones. There is no wall thickening or
surrounding fluid.

Pancreas partially obscured by overlying bowel gas, no cyst, mass, or dilated duct is
identified.

Spleen is of normal size measuring 8.7 x 2.8 x 0.8 cm. No focal lesions. Splenic vein is
patent.

Kidneys are normally positioned symmetrically sized with the right kidney measuring
10.2 x 4.2 cm, and the left kidney measuring 11.3 x 6.1 cm. A 1.5 cm simple cyst
identified in the upper pole of the left kidney. There are no significant masses, no calculi,
and no hydronephrosis.

Abdominal aorta is well visualized from the diaphragm to the bifurcation. Caliber is
normal, maximum diameter of1.9, with no aneurysm, and appropriate Doppler
waveform. IVC is patent.

No significant interval change from prior examination.

IMPRESSION:
NORMAL EXAMINATION.