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Radiologic Management of Cysts in the Abdomen and Pelvis

Brian C. Lucey1 and Ewa Kuligowska1

1 Both authors: Division of Body Imaging, Department of Radiology, Boston University Medical Center, 88 East Newton St., Atrium 2, Boston, MA 02118.


Figure 1
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  		Fig. 1A —44-year-old man with symptomatic liver cyst. Diagnostic CT image showing large liver cyst.

 

Figure 2
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  		Fig. 1B —44-year-old man with symptomatic liver cyst. Preprocedural sonographic image showing lesion with characteristic imaging features of simple cyst.

 

Figure 3
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  		Fig. 1C —44-year-old man with symptomatic liver cyst. Sonographic image showing catheter tip in cyst (arrow).

 

Figure 4
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  		Fig. 1D —44-year-old man with symptomatic liver cyst. Sonographic image showing collapse of cyst after aspiration.

 

Figure 5
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  		Fig. 2A —52-year-old man with cyst that was compressing renal artery and thought to be contributing to patient's hypertension. Sonographic image showing large renal parapelvic cyst.

 

Figure 6
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  		Fig. 2B —52-year-old man with cyst that was compressing renal artery and thought to be contributing to patient's hypertension. Sonographic image showing renal cyst containing catheter, which was placed using trocar technique.

 

Figure 7
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  		Fig. 2C —52-year-old man with cyst that was compressing renal artery and thought to be contributing to patient's hypertension. Sonographic image showing catheter deployed within cyst.

 

Figure 8
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  		Fig. 3A —64-year-old woman with hydatid cyst within right lobe of liver. CT image from diagnostic scan showing well-defined hydatid cyst.

 

Figure 9
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  		Fig. 3B —64-year-old woman with hydatid cyst within right lobe of liver. Predrainage sonographic image showing hydatid cyst.

 

Figure 10
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  		Fig. 3C —64-year-old woman with hydatid cyst within right lobe of liver. CT image showing drainage needle within cyst.

 

Figure 11
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  		Fig. 3D —64-year-old woman with hydatid cyst within right lobe of liver. Image showing that iodinated contrast material has been injected into cyst to confirm its integrity and ensure no communication between cyst and biliary system. Alcohol has been injected into cyst and is seen floating on contrast material (arrows).

 

Figure 12
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  		Fig. 4A —69-year-old woman with remote history of pelvic lymph node dissection. Diagnostic CT image showing large lymphocele.

 

Figure 13
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  		Fig. 4B —69-year-old woman with remote history of pelvic lymph node dissection. Preprocedural sonographic image showing cyst seen on CT in A.

 

Figure 14
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  		Fig. 4C —69-year-old woman with remote history of pelvic lymph node dissection. Sonographic image showing needle puncturing lymphocele (arrow).

 

Figure 15
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  		Fig. 4D —69-year-old woman with remote history of pelvic lymph node dissection. Sonographic image showing complete collapse of lymphocele after alcohol ablation.

 

Figure 16
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  		Fig. 5A —62-year-old man after lymph node dissection for prostate cancer. Diagnostic CT image showing postoperative lymphocele.

 

Figure 17
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  		Fig. 5B —62-year-old man after lymph node dissection for prostate cancer. Preablation sonographic image showing lymphocele.

 

Figure 18
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  		Fig. 5C —62-year-old man after lymph node dissection for prostate cancer. CT image showing catheter in situ. Alcohol appears as low-attenuation fluid within lymphocele.

 

Figure 19
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  		Fig. 5D —62-year-old man after lymph node dissection for prostate cancer. Follow-up sonographic image showing recurrence of lymphocele 6 months after alcohol ablation. Compared with preablation image, this image shows thickened wall.

 

Figure 20
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  		Fig. 6A —63-year-old woman with malignant melanoma. Sonographic image showing small inguinal lymphocele, which, because of its location in groin, was symptomatic despite its small size.

 

Figure 21
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  		Fig. 6B —63-year-old woman with malignant melanoma. Sonographic image showing draining needle in lymphocele. Echogenic dots in middle of cyst is the needle.

 

Figure 22
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  		Fig. 6C —63-year-old woman with malignant melanoma. Postalcohol sclerosis sonographic image showing resolution of lymphocele seen in A.

 

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