Ciliated hepatic foregut cyst (CHFC) is a rare mass, and its medical imagin
g findings are seldom reported. We present a histologically proven case of
CHFC. The patient was asymptomatic, and a mass was found incidentally by so
nography (US) in segment IV. The lesion was almost anechoic on fundamental
US but filled with dense echoes with distinct posterior echo enhancement on
second harmonic imaging. The lesion was avascular on color Doppler US and
angiography. Thus, when US detects a mass in segment IV, the possibility of
a CHFC should be considered regardless of the US results.