Metastatic Liver Disease - Presenting as Multiple Hepatic Cysts

Abstract

A 59 year-old woman with a history of successfully treated Hepatitis-C, Systemic Lupus Erythematosus, and a remote history of melanoma of the scalp presented to our center for 
evaluation of abdominal pain, nausea, vomiting, and malaise. An outpatient CT scan revealed 
numerous cystic liver lesions. A liver ultrasound from one year prior to admission showed a 
mildly heterogeneous and echogenic liver texture with no observed masses or dilated ducts. 
Her genotype 1b Hepatitis-C virus had been successfully treated with Pegylated interferon, 
Ribavirin, and Telaprevir 9 months prior to presentation. A liver biopsy revealed stage I fibrosis 
6 months prior to presentation.