Most hepatic cysts are asymptomatic and do not require further treatment. In our case, a 76-year-old woman had undergone lung cancer surgery. A focal lesion was identified in her right lower lung during postoperative follow-up. Because of its clinical presentation, aggressive tumor recurrence was initially suspected, but the tumor-like lesion decreased in size after 1 week. We diagnosed a simple hepatic cyst in the liver dome that had ruptured into the right lower lung, causing inflammatory consolidation associated with faint ground-glass opacity mimicking recurrent lung cancer.
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