Homogeneous Fluid Attenuation in Surgery — 52yo Man | General Surgery | SMLE Q#1304

SMLE Question #1304

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 52-year-old man has 3 months of intermittent right upper quadrant fullness. Abdominal ultrasound shows a cystic liver lesion. Contrast-enhanced CT shows a solitary 7-cm unilocular hepatic cyst in segment VII with homogeneous fluid attenuation, a thin smooth wall, and no septations, mural nodules, calcifications, or enhancement. He is otherwise well and wants definitive treatment. What is the most appropriate definitive management?

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