A 45-year-old woman was referred to the outpatient clinic after multiple hepatic lesions were incidentally noted on imaging. She had no related symptoms. The physical examination and laboratory tests were all normal.
Enhanced computed tomography of the abdomen had shown multiple small, hypodense, nonenhancing nodules throughout the liver.
Magnetic resonance imaging with cholangiopancreatography revealed multiple small, T2-weighted, hyperintense cystic nodules in the liver, without biliary duct communication, creating a “starry sky” appearance.

What is the diagnosis?

 

A. Acute hepatitis

B. Multiple biliary hamartomas

C. Malignant hydatidosis

D. Multiple liver metastases

E. Caroli syndrome