The liver is enlarged, measuring 17.5 cm. No dilated PV or IHBR is noted. There is a thin walled large anechoic cyst in the right lobe measuring 10.5 x 9.3 x 9.6 cm3. No membrane or daughter cyst is noted. Platelets are low at 68,000/cu mm. RBC and WBC counts are also low. My question is, what is the solution to this problem? Is it risky? Please answer me.

Question

Dr. J T Hema Pratima · Accepted Answer

A large liver cyst (10.5 cm) with low platelets and low blood counts can be concerning and must be evaluated by a hepatologist or gastroenterologist. The absence of daughter cysts suggests it may be a simple or hydatid cyst, but its size alone makes it important to assess. Platelet count of 68,000 is below normal and might be due to liver pressure or underlying infection. You may need an ultrasound guided FNAC or MRI to confirm the type of cyst.

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