International Journal of Clinical & Medical Images

This is a case study of a 32 years old female patient with non specific abdominal pain, without symptoms or signs of hepatopathy. Abdominal ultrasound showed sparse cystic anechoic formations in the liver parenchyma of about 1.1 cm. Magnetic resonance cholangiopancreatography (MRCP) (Figure 1: Magnetic resonance Cholangiopancreatography (MRCP) with multiple small cystic formations, with intimate anatomical relation with biliary branches, randomly distributed in hepatic parenchyma) demonstrated multiple small cystic formations, with intimate anatomical relation with biliary branches. An MRI of the upper abdomen showed that such formations were randomly distributed in hepatic parenchyma, and there was still the presence of a tiny left kidney cystic formation (Figure 2: The dilatation of intrahepatic biliary ducts with intimate anatomical relation with biliary branches, without cholangitis, chronic liver disease or signs of portal hypertension suggested an oligosymptomatic form of Caroli Disease and Figure 3: Sagittal MRI in T2showing cystic dilatations of bile ducts- the prognosis was favorable, since the patient had no cholangitis or other changes, besides mild abdominal discomfort, and no major clinical manifestations that modified her daily life). *Corresponding author:

Monica Souza de Miranda-Henriques
Rita Sabino de Andradre
Paraíba
Brazil