Reference is made to the ultrasound examination.The liver is slightly enlarged, but there is no morphological evidence of cirrhosis. The liver parenchyma is of normal density without evidence of fatty infiltration. There is no evidence of portal venous hypertension. The liver contains numerous circumscribed low density lesions, ranging in size between pinpoint and 10 mm. None of these lesions demonstrate enhancement. Some of the larger lesions are circumscribed and anechoic at ultrasound with some posterior acoustic enhancement and in keeping with cysts. The small and intermediate sized lesions are not shown to be cysts on ultrasound.
The hepatic vasculature is patent. The biliary tree is non-dilated.A number of renal cysts are shown. Adrenal glands, spleen, pancreas are normal in appearance. There is no lymphadenopathy or free fluid in the upper abdomen.Old right lower lobe rib fractures.
Conclusion: No CT evidence of cirrhosis or fatty infiltration. No evidence of portal venous hypertension. Mild hepatomegaly. Numerous low density lesions throughout the liver - the overall appearances favour multiple biliary hamartomas (von Meyenburg Complex) which could be confirmed with MRCP if clinically indicated.