Saturday, January 14, 2012

Caroli's disease

The findings are:
  • Medullary sponge kidney with stone formation (red arrow)
  • Mild bile duct dilatation (blue arrow)
  • Round hypoattenuating mass in the right liver lobe

The mass in the right lobe of the liver turned out to be an abscess.
Remember that liver abscesses in the early phase can look quite solid.
In the differential diagnosis we would also have to include a neoplasm, because patients with Caroli disease have an increased risk of developing a cholangiocarcinoma. 


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