Abnormal Liver density?

I recently had a stress echo test done to check my heart functions.  All came back well on the stress echo but the ultra sound tech did note "Abnormal liver density".  Cardo said since it was unspecific he recommended an abdominal ultrasound.  He thought it was probably as cyst and not to be worried.  Well I am human and hence I am worried.  The ultra sound is not scheduled for a couple of weeks so I have some time to stew about this.  I had an abdominal untrasound done about 3.5 years ago with nothing abnormal other than some possible sludge in my gallbladder.  Recent liver functions done last fall were all well within the normal range.  I used to drink (3-5 per day for about 10 years) but have not had any alcholol for almost 2 years. My questions are:

1. What is meant by "abnormal liver density"?

2. From what my cardo said liver cysts are not that uncommon,  how common is uncommon?

3. Is there any potential danger from liver cysts?

4.  Would any liver disease cause "abnormal liver density" other than a cyst?

5. Are mistakes possible in this type of indication (abnormal liver density) from a stress echo?

6.  I feel fine except for an occasional upper right pain that comes and goes.  My general practiioner said this was nothing to be worried about.  "We all have aches and pains as we get older"  I am 50 years old.

[Kevin Pho, MD]

To answer your questions:
1) The finding refers to a mass or lesion within the liver that normally isn't there.

2) Liver cysts can be present in about 10 percent of the population.

3) Usually no, but that depends on the size.

4) Yes, other liver diseases can account for the abnormal findings on the ultrasound.

5) Yes, there is always the possibility for a misread.  Hence, the need for the more specific abdominal ultrasound.

6) I would pursue the abdominal ultrasound or a CT scan for further evaluation.

This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com