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In daily clinical practice, we can find consultation reasons and exploratory findings that can guide us to a certain pathology. However, to avoid mistakes, we must remember that there are fewer common diseases, which could lead to an unexpected final diagnosis. Hepatic cystic lesions are usually found incidentally, having a wide differential diagnosis. Among them are biliary cysts and hamartomas, rare lesions, but with not inconsiderable importance, as we will see in the case that is exposed below.