LIVER DISORDERS COMMUNITY
Anyone...advice-anything?

Anyone...advice-anything?

I was dx'ed with NF1 today....help please


FINDINGS:The Extrahepatic bile ducts are mildly dilated for the patients age,with the common hepatic duct measuring up to 9mm on a series 10 image 9.

*There is also mild prominence of the central intrahepatic duct. No intraductal filling defects are seen. The pancreatic duct is non-dilated and pancreatic duct is nondilated and the pancreatic ductal anatomy appears classic.

*There is a duodenal diverticulum seen just anterior to the to the distal common bile duct adjacent to the pancreatic head. The gallbladder is normal in appearance with no gallbladder stones seen.

*In the inferior right hepatic lobe is am 8mm T2 hyperintense lesion which is not fully characterized best seen on the M.R.C.P. images,

*tiny foci of markedly bright T2 signal likely representing hepatic cysts seen in the liver dome,lateral left hepatic lobe,and in the more inferior left hepatic lobe. These measure 3 to 4 mm in diameter. No focal pancreatic lesions are seen on this non contrast study.

*The spleen, adrenal glands, and kidneys are normal. There is a rectus diastasis and evidence of a prior mid-line surgical incision with probable mesh repair, not fully imaged.

*Abdominal wall incisional hernia with complete rectus diastasis with significant progression in comparison with prior CT study done on 3/7/2011

IMPRESSION:
1) Mild biliary ductal of unclear etiology. No evidence of choledocholithiasis or

cholecystics. Suggest correlation with liver function studies.
2) Duodenal diverticulum seen just anterior to the to the distal common bile duct adjacent to the pancreatic head.
3) nonspecific T2 hyperintense lesion in the inferior right hepatic lobe. The absence of any history of malignancy. this is likely to represent a hemangioma. Several tiny hepatic cysts are incidentally noted.
4) Rectus diastasis with the probable prior mesh repair of the anterior abdominal wall. hernia also present
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Also my blood work results are as follows:

amylase 67
lipase 292
urinalysis specfic gravity of greater than 1.030 ph of 6
chloride 99
bicarb 30
bun of 5
creatinine of 0.8
alk phos 160
rest of  LFTS within normal

CBC showing  hemoglobin 13.8, hematocrit 40.1
white count of 8,500 & platelet count 284,000
Differential: 73 segs, 24 lymphs, and 4 monos
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