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Gastroenterology (Expert Forum)
Non specific liver lesions
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Non specific liver lesions
by momto2, Feb 01, 2007 12:00AM
Hello, I am 41y/o female. Non smoker/ drinker. I have been having some abd discomfort x3 months. I have had several tests done.(Abd US, Upper GI, Hida scan; mostly normal) My concern is the US showed a mild Fatty Liver but that was all. I chose to go ahead and do a CT just for peace of mind. Well, unfortunately I was not relieved because it showed 2 liver lesions. Here is what the CT scan showed: At least 2 abnormal foci are seen in the liver.One is seen in the inferior aspect of segment eight adjacent to the inferior vena cava on image#19 and is a subtle area of increased density/contrast enhancement measuring about 2.1cm. This extends to the level of the right portal vein. A larger similar area is seen in segment six on image#29 and measures 2.9cm. This has an exophytic component extending medially from the liver at this site. These lesions become isodense to liver on the delayed images. They do not have the typical enhancement pattern for hemangioma.
What does all that mean? I do not understand words like density/contrast enhancement,exophytic, isodense etc. Does this sound like lesions I need to worry about? My physician ordered a MRI but I have been worried sick. Also do I need to followup with the complex ovarian cyst. My OB doc says because of my age I could have those kinds of cysts. The GI doc mentioned focal nodular hyperplasia on my liver. Is that what it sounds like to you? Any info would be great. Thanks.
What does all that mean? I do not understand words like density/contrast enhancement,exophytic, isodense etc. Does this sound like lesions I need to worry about? My physician ordered a MRI but I have been worried sick. Also do I need to followup with the complex ovarian cyst. My OB doc says because of my age I could have those kinds of cysts. The GI doc mentioned focal nodular hyperplasia on my liver. Is that what it sounds like to you? Any info would be great. Thanks.
Doctor's Answer
by Kevin Pho, MD, Feb 02, 2007 12:00AM
, Feb 02, 2007 12:00AM
The CT did not provide enough clarity for the diagnosis. I agree with the MRI as the next step. Things like a cyst, infection, or cancer needs to be ruled out. Depending on what is found on the MRI, a biopsy cam be considered for a more definitive diagnosis.
Regarding ovarian cyst, this should be further evaluation, but they are more common. I would certainly focus on the liver findings as as priority.
These options and questions can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Regarding ovarian cyst, this should be further evaluation, but they are more common. I would certainly focus on the liver findings as as priority.
These options and questions can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
