Liver Transplant Expert Forum
Understanding my liver sonogram
About This Forum:

Questions posted in the Liver Transplant . Forum are answered by medical professionals from The Mount Sinai Medical Center.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Understanding my liver sonogram

I've been diagnosed with extensive non-alcoholic cirrhosis.  I've been told that it is enlarged and hardened.  The doctor who took the biopsy said he could hardly get the needles inserted.  My latest liver sonogram "demonstrates enlarged, diffusely echogenic liver consistent with fatty infiltration."  It goes on to read that my liver "measures 23.4 in craniocaudal dimension.  Hypoechoic area is demonstrated in the gallbladder fossa, suggesting focal fatty sparring. . . . Common bile duct mesaures 0.6 cm. . . . Right kidney measures 12.8 cm in length."  Everything else is seemingly normal.  

I have no real point of comparison, so I'm not sure how bad (or not) my situation is.  Would you please provide me with some rough idea of what a "normal" liver would measure, as well as what "craniocaudal dimension" is.  I often feel pressure in my rib cage, mainly on the left side, but nothing I would identify as pain.  Should I be concerned?

Thank you for your time and help.
Related Discussions
517301_tn?1229801385
your liver appears enlarged because of NASH (fatty liver).  weight loss is the key--the enalrged liver can cause abdominal pain Thankfully the function appears normal from what you infer.  the pain on the left side could be an enlarged spleen.
2 Comments
Blank
Avatar_f_tn
Dear Dr. Schiano,

I appreciate you taking the time to respond to my query; however, I don't understand your answer in regard to two of the questions I asked, "Would you please provide me with some rough idea of what a "normal" liver would measure . . .," and "what 'craniocaudal dimension' is."  \

I do have NASH and an enlarged spleen (17cm at last measurement).  I guess I'm just confused because three doctors have told me I will need (perhaps "far" future tense) a liver transplant, but my bloodwork does look good.  That seems contradictory to me.

Again, thank you for taking the time to help.
Blank
This Forum's Experts
517301_tn?1229801385
Thomas D Schiano, MDBlank
The Mount Sinai Medical Center
New York, NY
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank