– 15 year MN DSH with history of slight weight loss and decreased appetite

– bloodwork elevated calcium (likely not fasted and not ionized calcium test) with everything else wnl

– multiple large cysts, some septated in the right liver

– large cystic-mass filling much of the left cranial abdomen also present – it appears to be coming off the very tip of one of the left liver lobes

– spleen, both kidneys and pancreas and rest of exam normal except for a trace abdominal effusion – I could not attach this mass to anything else

– 15 year MN DSH with history of slight weight loss and decreased appetite

– bloodwork elevated calcium (likely not fasted and not ionized calcium test) with everything else wnl

– multiple large cysts, some septated in the right liver

– large cystic-mass filling much of the left cranial abdomen also present – it appears to be coming off the very tip of one of the left liver lobes

– spleen, both kidneys and pancreas and rest of exam normal except for a trace abdominal effusion – I could not attach this mass to anything else

– I have recommended exploratory laparotomy as the left (liver lobe?) mass looks like it can be removed and is likely causing some abdominal discomfort

Does this mass appear to be attached to the liver ? Is this a biliary cystadenoma? other?

(colour Doppler didn’t help me out much here )

Thanks!