Conversation: The conversation between human and AI assistant.
[|Human|] recently a songram revealed i had 2 liver cysts one about 2cm and a smaller one. i didnt have any symptoms till they told me they were ther. now I have pain in my right side. What should I do I am 61 yeass old and is afraid of any surgery or invasive proceedure.
[|AI|]  Hi, I am sorry to hear you are having pain. Cysts in the liver are a fairly frequent finding on USG scans. Most often these cysts tend to be "simple cysts" and do not cause any trouble whatsoever to the patient. That is one of the reason why they can grow up to 25 CMS without the patient being aware of it. Some other causes for cysts in the liver include certain hereditary diseases (where there will also be cysts in the kidneys) and infections (Amoebas). Rarely malignancies can also appear as a cyst. But in all of these conditions, the patients will usually have symptoms from the disease. In your case, it appears to be a simple cyst (based on what you have written). Although mostly asymptomatic, simple cysts can also produce symptoms when 1) they enlarge to a big size 2) when there is bleeding into the cyst or 3) when they develop an infection in the cyst. In your case, none of these explain the pain. Since both the cysts are small, I would recommend a followup scan at a later date to see if the cyst is enlarging. Hope this helps and hope you start to fell better soon.  Please do not hesitate to contact me for further details - rxsuresh@gmail.com