pain in ribs on both sides

[alf401]

acoarse echotexture,does this indicate liver disease,cirrhosis have been experiencing pain on both sides of my rib area for over 6 months,ultrasound shows a echogenic lesion in segment 7 of the liver, measuring 1.7x2.1x1.3cm, the liver shoes


This discussion is related to Cirrhosis of liver.

[CalGal]

I'm not sure anyone other than your doc may be able to tell you what the course echo texture means unless it's 'coupled' with other findings. A 'coarse' texture can be connected to a number of different issues, some benign while some others are more problematic. And lesions can also mean non-problematic hemangiomas (a tangle of blood vessels) as well as issues more difficult to deal with. Have you had a chance to talk this over with your doc yet? He has all the information about your health history and has access to all of the other tests you've had done - we only have this small part of the story.

[alf401]

Hi, thanks for your reply, sorry hadn't put all of the info up,Ultrasound showed,an echogenic lesion in segment 7 of the liver, measuring 1.7x2.1x1.3cm with no assosciated vascularity, the liver has a coarse echotexture,reccomend triphasic study of the liver, I don't drink alcohol or do drugs,have had pain in both sides of my syomach,around rib cage area for six monts,feel sick when eating,does coarse liver texture mean liver damage,I would think a healtht liver would be smooth, am seeing my doctor next week, would just like some info,thanks.A.

[CalGal]

Alf, the liver is ‘divided’ into 8 segments – mostly on the terms of vasculature, drainage, etc. The segment you’re talking about is kind of ‘right/posterior/lateral.’ You can get an idea of where they’re talking about here: http://dpi.radiology.uiowa.edu/nlm/app/livertoc/liver/8seg.html

As far as the coarse texture, it can mean a number of different things - benign to more serious. It has to be evaluated along with all the other parameters they find or don't find. What it means physically is when you look at an ultrasound of a coarse area, it looks ‘rougher’ than the surrounding areas (if the surrounding areas are normal). And you’re right, the normal liver looks fairly smooth in appearance.

The triphasic liver study they’re suggesting is a triphasic spiral CT study that is used to characterize a wide range of liver lesions. Don't take that to mean anything is wrong. The radiologist (?) is suggesting that for safely sake a closer look should be taken.