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Follow up Liver Hemangioma
I posted back in July http://www.medhelp.org/posts/Liver-Transplant/Nonspecific-Abnormal-Findings-on-Radiological-please-help/show/1563920#post_7100004 and Dr. Schiano replied.
I recently had an ultrasound done. It had been 7 months since my last ultrasound. The report said:
A right upper quadrant abdominal ultrasound was performed.
The liver contains an echogenic lesion within the right lobe measuring 2.1 x 1.9 x 2.0 cm which likely represents a small hemangioma. On the patient's prior study of one year prior the mass measured 1.7 x 1.8 x 1.8 cm. No other focal hepatic lesion is visualized. The gallbladder is physiologically distended without evidence for cholelithiasis, pericholecystic fluid or sonographic Murphy sign. The common bile duct is normal in caliber measuring 3.2mm. The pancreas is unremarkable.
The right kidney measures 9.2cm in length. There is no evidence for hydronephrosis or nephrolithiasis.
The aorta and IVC are unremarkable.
IMPRESSION: No significant change hepatic hemangioma.
I'm wondering since this is my 3rd ultrasound (the hemangioma was discovered during a CT scan incidentally a year ago) and things have been stable. Do I need an MRI still? I asked last year and was told that since I had the CT and we followed up with an ultrasound MRI would be too much to do. I was also told that if an ultrasound came back questionable then an MRI would be ordered.
Is it safe to rely on ultrasound for this? Or should I get an MRI? I would prefer not to get an MRI because I don't want to do the injection and was told that for the liver MRI I would need an injection.
At this point a year later could this be anything else besides a hemangioma?
I recently had an ultrasound done. It had been 7 months since my last ultrasound. The report said:
A right upper quadrant abdominal ultrasound was performed.
The liver contains an echogenic lesion within the right lobe measuring 2.1 x 1.9 x 2.0 cm which likely represents a small hemangioma. On the patient's prior study of one year prior the mass measured 1.7 x 1.8 x 1.8 cm. No other focal hepatic lesion is visualized. The gallbladder is physiologically distended without evidence for cholelithiasis, pericholecystic fluid or sonographic Murphy sign. The common bile duct is normal in caliber measuring 3.2mm. The pancreas is unremarkable.
The right kidney measures 9.2cm in length. There is no evidence for hydronephrosis or nephrolithiasis.
The aorta and IVC are unremarkable.
IMPRESSION: No significant change hepatic hemangioma.
I'm wondering since this is my 3rd ultrasound (the hemangioma was discovered during a CT scan incidentally a year ago) and things have been stable. Do I need an MRI still? I asked last year and was told that since I had the CT and we followed up with an ultrasound MRI would be too much to do. I was also told that if an ultrasound came back questionable then an MRI would be ordered.
Is it safe to rely on ultrasound for this? Or should I get an MRI? I would prefer not to get an MRI because I don't want to do the injection and was told that for the liver MRI I would need an injection.
At this point a year later could this be anything else besides a hemangioma?
MEDICAL PROFESSIONAL
yes OK
Thank you Dr. Schiano for replying. I truly appreciate it. The ultrasound has been at the same facility. However the first two were read by the same Doctor and the most recent one was read by another Doctor. Is that ok?
Thank you
Thank you
MEDICAL PROFESSIONAL
nothing to worry about with regard the gallbladder. If there is no appreciable interval growth and the ultrasound is done at the same facility then that should be adequate as surveillance
Forgot to add is the distended gallbladder anything to worry about?
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