The CT report shows multiple round-like low density shadows in the liver parenchyma and liver cysts, do they need to be treated or can they be diagnosed as some kind of liver disease?
After reading the situation you said, has done ct examination, the report shows that the liver parenchyma multiple class round low density shadow, consider is the liver cyst, this situation if the cyst are not big, not more than 5 centimeters, no pressure symptoms, etc., because it is benign things, so do not need to treat, did ct examination, basically can confirm the diagnosis of benign liver disease.
Multiple round-like hypointense shadows seen in the liver should be differentiated into two cases: 1. Benign lesions of the liver.For this case, it is more likely that the patient is a polycystic liver or multiple liver cysts.In this case, the patient should further investigate the upper abdomen with enhanced CT or MRI to further clarify the nature of the patient's liver hypoechoic mass. 2. For patients with previous tumor diseases, we should consider whether there are metastatic lesions of tumors.For patients with rectal and colon diseases, especially tumor patients, if there is a hypoechoic mass in the liver.In this case, we should further investigate the enhanced CT and MRI of the upper abdomen, and if necessary, PET-CT to further determine whether the hypoechoic mass in the liver is a cyst or formed due to tumor metastasis.For patients with metastatic tumor, if it is a single metastatic tumor in the liver combined with an occupying lesion in the rectum or colon, combined resection can be considered.However, if the mass is multiple, the possibility of systemic intravenous chemotherapy should be considered.
Surgical treatment is not advocated for multiple liver cysts; large cysts that cause obvious symptoms are necessary to be treated in the following ways: 1. ultrasound-guided or CT-guided puncture and aspiration, or windowing or decortication of large cysts to relieve compression symptoms; 2. if the lesion is confined to a segment or a lobe of the liver, and the patient's condition allows, liver segment or lobe resection is performed; 3. progressive development of liver cysts, and in patients with advanced liverIn patients with advanced liver cysts, liver transplantation is required due to severe destruction of liver tissue and obvious impairment of liver function caused by compression of liver cysts.