Benign hepatic cysts

A 36-year-old male, who recently returned from rural Mexico, presents with right upper quadrant pain, mild nausea, anorexia, subjective fevers, leukocytosis, and mild hepatic transaminitis. An ultrasound reveals a 4 cm hypoechoic cystic liver structure with internal septations. What is the most appropriate management?

1: Monitor with follow-up imaging in 6 months.
2: Perform CT-guided aspiration of the cyst.
3: Start broad-spectrum antibiotics.
4: Initiate anthelmintic therapy with albendazole.