What Causes Pain In Upper Right Quadrant?

Question: 56 year old female. I was having some mild to moderate pain in upper right quad. Had a CT scan in late March, 2014: family doctor's secretary called me and said I have a "fatty liver," that the doc says it is common, and he is not worried about it. I received no response on my repeated inquiries about the pain. Today, 4 months later, I secured the orignal report from the radiologist: CT scan shows subcentimeter septated cyst. And hepatic steatosis. No cholestasis. Recommended MR___ (can't remember full name) for further assessment. My family doctor never reported the cyst to me, nor the recommended further testing. I have an appointment in a few weeks with a new doctor, an internist. In the meantime, can you please tell me what is a septated cyst? Thank you very much.

Thank you very much, Dr. XXXXXXX My main concern is that I have soreness or mild pain there, maybe 3-4 days out of every 7 days. When I go swimming (twice a week), there is so pain there for at least 24 hours.

Thank you, XXXXXXX

Thank you, doctor. I am sorry - that was a typo - I meant to say there is NO pain after swimming, for about 24 hours. In other words, exercise seems to relieve the pain in that area. Here is my full radiology report, that may help:


ULTRASOUND OF RIGHT UPPER QUADRANT 03/28/14
Ultrasound of right upper quadrant is performed. The pancreas is
normally visualized. The liver is of normal size. The echogenicity
of the hepatic parenchyma is increased due to fatty metamorphosis.
There is a 6 x 6 x 7 mm cyst within left hepatic lobe containing thin
septation.

No cholelithiasis is seen. The gallbladder wall is normal in
thickness. There is, however, a comet-tail artifact emanating from
the gallbladder wall, indicative of focal adenomyomatosis of the
gallbladder wall. The common duct is mildly dilated, measuring up to
7 to 8 mm in size with no intrahepatic biliary ductal dilatation observed.

Cursory evaluation of right kidney shows no abnormality.

IMPRESSION:
There is a subcentimeter septated cyst within left hepatic lobe with
hepatic steatosis.

Focal adenomyomatosis of the gallbladder wall with no cholelithiasis
or evidence of cholecystitis. The common duct is dilated at 7 to 8
mm with no choledocholithiasis seen. No intrahepatic biliary ductal
dilatation is observed. Perhaps MRCP could be considered as a means
of further assessment.

Normal appearance of pancreas.