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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Separated cyst as seen in ultrasound. What is the difference between simple cyst and separated cyst?

1. Hepatomegaly with abnormal echotexture compatible with fibrous and/or
fatty change.
2. Prior cholecystectomy
3. Borderline large spleen
4. Incomplete imaging of pancreas, aorta and IVC due to bowel gas
5. 2.5 cm likely partially septated cyst in the right lobe of the liver.
These are results of an ultrasound. What is the difference in a simple cyst and septated cyst, and is a septated cyst dangerous?
Wed, 19 Jun 2013
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General & Family Physician 's  Response
HI, thanks for using healthcare magic

A septated cyst has walls or septa within the cyst itself wheras a simple cyst has a smooth outer wall and no inner structures.

In most persons the cysts are not associated with significant problems. Some possible symptoms are fullness or pain.

Your doctor may want to remove or take a portion of the wall of the cyst to send it for analysis, it may be of no significance but they may want to ensure this by lab review.

The ultrasound also shows fatty change in the liver which is also of concern because fatty liver is one of the most common causes of liver disease at present.
If it is at an early stage a change in diet, increase activity and the use of medications such as statins that are normally used for high cholesterol, may be helpful

i hope this helps
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