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Can Simple Liver Cysts Be Distinguished From Liver Metastasis On A CT Scan?

Posted on Fri, 27 Mar 2015

Question: Can simple liber cysts be distinguished from liver mets on a ct?

Answered by Dr. Indu Kumar (28 minutes later)

Brief Answer:
Yes,it can be distinguished by CT scan.

Detailed Answer:
Hello

Simple liver cysts and metastasis can be distinguished by ultrasound or CT scan.
Simple liver cysts are clear fluid containing cysts.
Whereas liver metastasis are generally mixed or solid in nature.However,it may be cystic in some cases.
Wall of cysts also helps in distinguishing simple cysts and mets.Mets generally have thick and enhancing wall whereas wall is thin in simple cysts and it is non enhancing in simple cysts.
Metastasis tends to involve whole liver whereas simple cysts are more prevalent in right lobe.
Findings should be corroborated clinically also.

Hope i have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (10 minutes later)

Ok thx. Problem is my dad had colon cancer surgery last year n was stage 3.

All was ok then a liver met developed in august n a node.

He also was found to have "simple" liver cysts via a mri.

So irinotecan started but failed as ct in XXXXXXX showed increase in liver met and node.

Oncologist told us thers 1/2 liver mets but in this image attached there are several lesions right?

So i dont see y we got told theres only 1/2.

Pleaze see image n letter attached.

What do u make of this?

Answered by Dr. Indu Kumar (18 minutes later)

Brief Answer:
MRI is best modality to detect simple hepatic cysts.

Detailed Answer:
Hello

MRI is best modality to detect simple hepatic cysts.Simple cysts are developmental cysts and this is expected in your father's age.
One round lesion in right lobe of liver may be simple cyst whereas subcapsular lesion adjacent to round lesion may be hepatic mets.Its size is increased according to MRI report.

Get well soon.
Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (18 minutes later)

The image is of the liver or abdomen ? Are there peritoneal mets on it?

He had 1 aortocaval node, is that peritoneal?

What is
S

Answered by Dr. Indu Kumar (19 hours later)

Brief Answer:
Mets and cysts are related to liver.

Detailed Answer:
Hello

Sorry for replying late.

Mets and cysts are related to liver.
It is difficult to comment further from single image.

Get well soon.
Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (3 minutes later)

Ok but is this image showing mets on peritoneal? Is the liver surface the
Peritoneal?

Answered by Dr. Indu Kumar (3 minutes later)

Brief Answer:
Mets is below the capsule of liver on its surface.It is not peritoneal.

Detailed Answer:
Hello

Mets is below the capsule of liver on its surface.It is not peritoneal.

Get well soon.
Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indu Kumar (2 minutes later)

I see . So can there be chemotherapy for
This? How likely is chemo to work for colon ?cancer and what can survjval b like with treatment?

Answered by Dr. Indu Kumar (25 minutes later)

Brief Answer:
Your father may need chemotherapy.

Detailed Answer:
Hello

As surgery is already done,your father may need chemotherapy.
5 year survival rate is up to 40 % after chemotherapy.

Get well soon.
Hope I have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar