Seminars in Ultrasound, CT and MRI
Volume 30, Issue 5 , Pages 368-386 , October 2009

Multimodality Imaging of Common and Uncommon Cystic Focal Liver Lesions

  • Koenraad J. Mortelé, MD

      Affiliations

    • Division of Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA
    • Corresponding Author InformationAddress reprint requests to: Koenraad J. Mortele, MD, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115
    • ,
  • Hope E. Peters, MD

      Affiliations

    • Division of Ultrasound, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

References 

  1. Mathieu D, Vilgrain V, Mahfouz A, et al. Benign liver tumors. MRI Clin North Am. 1997;5:255–288
  2. vanSonnenberg E, Wroblicka JT, D'Agostino HB, et al. Symptomatic hepatic cysts: Percutaneous drainage and sclerosis. Radiology. 1994;190:387–392
  3. Singh Y, Winick AB, Tabbara SO. Multiloculated cystic liver lesions: Radiologic-pathologic differential diagnosis. Radiographics. 1997;17:219–224
  4. Mergo PJ, Ros PR. Benign lesions of the liver. Radiol Clin North Am. 1998;36:319–331
  5. Murphy BJ, Casillas J, Ros PR, et al. The CT appearance of cystic masses of the liver. Radiographics. 1989;9:307–322
  6. Mortele KJ, Ros PR. Cystic focal liver lesions in the adult: Differential CT and MR imaging features. Radiographics. 2001;21:895–910
  7. Ul Haque A, Moatasim A. Adult polycystic kidney disease: A disorder of connective tissue?. Int J Clin Exp Pathol. 2008;1:84–90
  8. Brancatelli G, Federle MP, Vilgrain V, et al. Fibropolycystic liver disease: CT and MR imaging findings. Radiographics. 2005;25:659–670
  9. Morgan DE, Lockhart ME, Canon CL, et al. Polycystic liver disease: Multimodality imaging for complications and transplant evaluation. Radiographics. 2006;26:1655–1668
  10. Zheng RQ, Zhang B, Kudo M, et al. Imaging findings of biliary hamartomas. World J Gastroenterol. 2005;11:6354–6359
  11. Xu AM, Xian ZZH, Zhang SH, et al. Intrahepatic cholangiocanrcinoma arising in multiple bile duct hamartomas: Report of two cases and review of the literature. Eur J Gastroenterol Hepatol. 2009;21:580–584
  12. Markhardt BK, Rubens DJ, Huang J, et al. Sonographic features of biliary hamartomas with histopathologic correlation. J Ultrasound Med. 2006;25:1631–1633
  13. Juchems MS, Jeltsch M, Brambs HJ. Multiple cystic liver lesions on CT: Multiple biliary hamartomas. Gut. 2008;57:144
  14. Mortele B, Mortele KJ, Seynaeve P, et al. Hepatic bile duct hamartomas (von Meyenburg complexes): MR and MR cholangiographic findings. J Comput Assist Tomogr. 2002;26:438–443
  15. Tohme-Noun C, Cazals D, Noun R, et al. Multiple biliary hamartomas: Magnetic resonance features with histopathologic correlation. Eur Radiol. 2008;18:493–499
  16. Kaplan Kio J, Escobar M, Alonzo M, et al. Ciliated hepatic foregut cyst: Report of a case on fine-needle aspiration. Diagn Cytopathol. 2007;35:245–249
  17. Sharma S, Dean AG, Corn A, et al. Ciliated hepatic foregut cyst: An increasingly diagnosed condition. Hepato-Bil Panc Int. 2008;7:581–589
  18. Sharma S, Corn A, Kohli V, et al. Ciliated hepatic foregut cyst: An increasingly diagnosed condition. Dig Dis Sci. 2008;53:2818–2821
  19. Kadoya M, Matsui O, Nakanuma Y, et al. Ciliated hepatic foregut cyst: radiologic features. Radiology. 1990;175:475–477
  20. Choi BI, Yeon KM, Kim SH, et al. Caroli disease: Central dot sign in CT. Radiology. 1990;174:161–163
  21. Pezzelli R, Carini G, Cennamo V. Caroli's disease. J Gastroenterol Hepatol. 2008;23:1621
  22. Levy AD, Rohrmann CA, Murakata LA, et al. Caroli's disease: Radiologic spectrum with pathologic correlation. AJR Am J Roentgenol. 2002;179:1053–1057
  23. Zangger P, Grossholz M, Mentha G, et al. MRI findings in Caroli's disease and intrahepatic pigmented calculi. Abdom Imaging. 1995;20:361–364
  24. Pavone P, Laghi A, Catalano C, et al. Caroli's disease: Evaluation with MR cholangiopancreatography (MRCP). Abdom Imaging. 1996;21:117–119
  25. Wholey MH, Wojno KJ. Pediatric hepatic mesenchymal hamartoma demonstrated on plain film, ultrasound and MRI, and correlated with pathology. Pediatr Radiol. 1994;24:143–144
  26. Ros PR, Goodman ZD, Ishak KG, et al. Mesenchymal hamartoma of the liver: Radiologic-pathologic correlation. Radiology. 1986;158:619–624
  27. Kim SH, Kim WS, Cheon JE, et al. Radiological spectrum of hepatic mesenchymal hamartoma in children. Korean J Radiol. 2007;8:498–505
  28. Kim KA, Kim KW, Park SH, et al. Unusual mesenchymal liver tumors in adults: Radiologic-pathologic correlation. AJR Am J Roentgenol. 2006;187:481–489
  29. Ye BB, Hu B, Wang LJ, et al. Mesenchymal hamartoma of the liver: Magnetic resonance imaging and histopathologic correlation. World J Gastroenterol. 2005;11:5807–5810
  30. Yoon W, Kim JK, Kang HK. Hepatic undifferentiated embryonal sarcoma (MR findings). J Cat. 1997;21:100–102
  31. Buetow PC, Buck JL, Pantongrag-Brown L, et al. Undifferentiated (embryonal) sarcoma of the liver: Pathologic basis of imaging findings in 28 cases. Radiology. 1997;203:779–783
  32. Lenze F, Birkfellner T, Lenz P, et al. Undifferentiated embryonal sarcoma of the liver in adults. Cancer. 2008;112:2274–2282
  33. Pachera S, Nishio H, Takahashi Y, et al. Undifferentiated embryonal sarcoma of the liver: Case report and literature survey. J Hepato Biliary Pancreat Surg. 2008;15:536–544
  34. Kim M, Tireno B, Slanetz PJ. Undifferentiated embryonal sarcoma of the liver. AJR Am J Roentgenol. 2008;190:261–262
  35. Del Poggio P, Buonocore M. Cystic tumors of the liver: A practical approach. World J Gastroenterol. 2008;14:3616–3620
  36. Palacios E, Shannon M, Solomon C, et al. Biliary cystadenoma: Ultrasound, CT, and MRI. Gastrointest Radiol. 1990;15:313–316
  37. Korobkin M, Stephens DH, Lee JK, et al. Biliary cystadenoma and cystadenocarcinoma: CT and sonographic findings. AJR Am J Roentgenol. 1989;153:507–511
  38. Lewin M, Mourra N, Honigman I, et al. Assessment of MRI and MRCP in diagnosis of biliary cystadenoma and cystadenocarcinoma. Eur Radiol. 2006;16:407–413
  39. Mortele KJ, Segatto E, Ros PR. The infected liver: Radiologic-pathologic correlation. Radiographics. 2004;24:937–955
  40. Doyle DJ, Hanbidge AE, O'Malley ME. Imaging of hepatic infections. Clin Radiol. 2006;61:737–748
  41. Lin AC, Yeh DY, Hssu YH, et al. Diagnosis of pyogenic liver abscess by abdominal ultrasonography in the emergency department. Emerg Med J. 2009;26:273–275
  42. Benedetti NJ, Desser TS, Jeffrey RB. Imaging of hepatic infections. Ultrasound Q. 2008;24:267–278
  43. Kim SB, Je BK, Lee KY, et al. Computed tomographic differences of pyogenic liver abscesses caused by Klebsiella pneumonia and non-Klebsiella pneumonia. J Comput Assist Tomogr. 2007;31:59–65
  44. Conter RL, Pitt HA, Tompkins RK, et al. Differentiation of pyogenic from amebic hepatic abscesses. Surg Gynecol Obstet. 1986;162:114–120
  45. Ralls PW, Colletti PM, Quinn MF, et al. Sonographic findings in hepatic amebic abscess. Radiology. 1982;145:123–126
  46. Radin DR, Ralls PW, Colletti PM, et al. Of amebic liver abscess. AJR Am J Roentgenol. 1988;150:1297–1301
  47. Pastakia B, Shawker TH, Thaler M, et al. Hepatosplenic candidiasis: Wheels within wheels. Radiology. 1988;166:417–444
  48. Berlow ME, Spirit BA, Weil L. Follow-up of hepatic and splenic fungal microabscesses. J Comput Assist Tomogr. 1984;8:42–45
  49. Francis IR, Glazer GM, Amendola MA, et al. Hepatic abscesses in the immunocompromised patient: Role of CT in detection, diagnosis, management, and follow-up. Gastrointest Radiol. 1986;11:257–262
  50. Shirkhoda A, Lopez-Berestein G, Holbert JM, et al. Hepatosplenic fungal infection: CT and pathologic evaluation after treatment with liposomal amphotericin B. Radiology. 1986;159:349–353
  51. Semelka RC, Kelekis NL, Sallah S, et al. Hepatosplenic fungal disease: Diagnostic accuracy and spectrum of appearances on MR imaging. AJR Am J Roentgenol. 1997;169:1311–1316
  52. Anttila VJ, Lamminen AE, Bondestam S, et al. Magnetic resonance imaging is superior to computed tomography and ultrasonography in imaging infectious liver foci in acute leukaemia. Eur J Haematol. 1996;56:82–87
  53. Semelka RC, Shoenut JP, Greenberg HM, et al. Detection of acute and treated lesions of hepatosplenic candidiasis: Comparison of dynamic contrast-enhanced CT and MR imaging. J Magn Reson Imaging. 1992;2:341–345
  54. Czermak BV, Akhan O, Hiemetzberger R, et al. Echinococcosis of the liver. Abdom Imaging. 2008;33:133–143
  55. Hosch W, Stojkovic M, Janisch T, et al. The role of calcification for staging cystic echinococcosis. Eur Radiol. 2007;17:2538–2545
  56. De Liego J, Lecumberri FJ, Francquet T, et al. Computed tomography in hepatic echinococcosis. AJR Am J Roentgenol. 1982;13:699–702
  57. Marani SA, Canossi GC, Nicoli FA, et al. Hydatid disease: MR imaging study. Radiology. 1990;175:701–706
  58. Kalovidouris A, Gouliamos A, Vlachos L, et al. MRI of abdominal hydatid disease. Abdom Imaging. 1994;19:489–494
  59. Inan N, Arslan A, Akansel G, et al. Diffusion-weighted imaging in the differential diagnosis of simple and hydatid cysts of the liver. AJR Am J Roentgenol. 2007;189:1031–1036
  60. Marcos LA, Terashima A, Gotuzzo E. Update on hepatobiliary flukes: Fascioliasis, opisthorchiasis, and clonorchiasis. Curr Opin Infect Dis. 2008;21:523–530
  61. Kabaaliogu A, Cubuk U, Senol C, et al. Fascioliasis: US, CT, and MRI findings with new observations. Abdom Imaging. 2000;25:400–404
  62. Han JK, Choi BI, Cho JM, et al. Radiological findings of human fascioliasis. Abdom Imaging. 1993;18:261–264
  63. Mortele KJ, Barish MA, Yucel KE. Fulminant herpes hepatitis in an immunocompetent pregnant woman: CT imaging features. Abdom Imaging. 2004;29:682–684
  64. Casillas VJ, Amendola MA, Gascue A, et al. Imaging of nontraumatic hemorrhagic hepatic lesions. Radiographics. 2000;20:367–378
  65. Merrine D, Fishman EK, Zerhouni EA. Spontaneous hepatic hemorrhage: Clinical and CT findings. J Comput Assist Tomogr. 1988;12:397–400
  66. Balci NC, Semelka RC, Noone TC, et al. Acute and subacute liver-related hemorrhage: MRI findings. Magn Reson Imaging. 1999;17:207–211
  67. Okunda K, Sugita S, Tsukada E, et al. Pancreatic pseudocyst in the left hepatic lobe: A report of two cases. J Hepatol. 1991;13:359–363
  68. Morgan DE, Baron TH, Smith JK, et al. Pancreatic fluid collections prior to intervention: Evaluation with MR imaging compared with CT and US. Radiology. 1997;203:773–778
  69. Iannaccone R, Federle MP, Brancatelli G, et al. Peliosis hepatis: Spectrum of imaging findings. AJR Am J Roentgenol. 2006;187:W43–W52
  70. Relman DA, Loutit JS, Schmidt TM, et al. The agent of bacillary angiomatosis: An approach to the identification of uncultured pathogens. N Engl J Med. 1990;323:1573–1580
  71. Moore EH, Russell LA, Klein JS, et al. Bacillary angiomatosis in patients with AIDS: Multiorgan imaging findings. Radiology. 1995;197:67–72
  72. Gore RM, Miller FH, Yaghmai V. Acquired immunodeficiency syndrome (AIDS) of the abdominal organs: Imaging features. Semin Ultrasound CT MR. 1998;19:175–189
  73. Terayama N, Matsui O, Hoshiba K, et al. Peribiliary cysts in cirrhosis: US, CT and MRI findings. J Comput Asssist Tomogr. 1995;19:419–423
  74. Tohma T, Miura F, Cho A, et al. Usefulness of computed tomography during cholangiography for the diagnosis of multiple hepatic peribiliary cysts: A report of three cases with chronic liver disease. J Hepato Biliary Pancreat Surg. 2009;16:372–375

PII: S0887-2171(09)00057-2

doi: 10.1053/j.sult.2009.07.001

Seminars in Ultrasound, CT and MRI
Volume 30, Issue 5 , Pages 368-386 , October 2009

Article Tools

* Image Usage & Resolution