liver lesions and cysts

Tags: liver, lesions, liver cysts, gallbladder, high blood pressure
HAD A MRI SHOWING A CYST IN LEFT LOBE OF LIVER 1.1X1.3 CM,,TWO CYSTS IN RIGHT LOBE OF LIVER ONE MEASURING 1.1X.8 CM AND THE OTHER .4X.4CM,,,,,I HAVE A FOURTH HEPATIC LESION WHICH IS LOCATED IN THE POSTERIOR SEGMENT OF THE RIGHT LOBEOF THE LIVER ADJACENT TO THE IVC PRODUCING MILD MASS EFFECT UPON IT,,IT IS 3.7X3.1 CM AND IS T1 HYPOINTENSE AS WELL AS SUBSTELY T2 HYPERINTENSE,,AFTER CONTRAST ADMINISTRATION THERE IS A PERIPHERAL ENHANCEMENT OF THE LESION ON THE ARTERIAL AND PORTAL VENOUS PHASES,,ON MORE DELAYED POST CONTRAST IMAGES THERE IS DECREASED ENHANCEMENT OF THE LESION,,HOWEVER ON THE 15 MINUTE POSTCONTRAST SEQUENCE, THERE IS ENHANCEMENT CENTRALLY IN THE LESION SUGGESTING AN ENHANCING CENTRAL SCAR.,,,THESE IMAGES ARE MOST SUGGESTIVE OF FOCAL NODULAR HYPERPLASIA,,,,IMPRESSION OF LESION IN RIGHT LOBE WITH MILD MASS EFFECT UPON THE IVC,,,,THIS IS ON MY RADIOLOGY REPORT,,CAN YOU GIVE ME AN OPPINION OF HOW TO BE SURE THIS IS NOT CANCER AND WHAT ARE THE BEST OPTIONS FOR ME,,,,LIVER FUNCTION TEST ARE GOOD,,,HAVE A BAD GALLBLADDER NOT FUNCTIONING AND HAS A POLYP,,STARTING HAVING SOME HIGH BLOOD PRESSURE,,,WAITING ON DOCTORS TO DECIDE THE RIGHT PROTOCAL,,,PLEASE GIVE ME YOUR OPPINION,,

[Thomas D Schiano, MD]

thankfully it sounds like these are benign findings.  I do not think you have cancer from the report that you relate.  We would repeat the imaging study in 4-6 months looking for any interval change in appearance

[gingerbread3257]

MY DOCTORS HERE IN ALABAMA WANT TO REMOVE THE GALLBLADDER AND DO A BIOPSY OF THE LIVER AT THE SAME TIME,,,IS THAT EASY TO DO WHILE REMOVING THE GALLBLADDER ? I AM HAVING FULLNESS,AND VERY UNCOMFORTABLE FEELING UNDER RIGHT RIB,,BETWEEN SHOULDER BLADE AND SHOULDER,,,NO NAUSEA,,NIGHT SWEATS ALSO,,,MAY ALL BE FROM NON FUNCTIONING GALLBLADDER NO GALL STONES,,,,THEY SAY SINCE I HAVE TO REMOVE THE GALLBLADDER WE SHOULD JUST GET A BIOPSY OF THE LIVER TO BE SURE,,,WHAT DO YOU THINK??/

[Thomas D Schiano, MD]

if the cholecystectomy is warranted then a directed intraoperative liver biopsy is a great idea.

[gingerbread3257]

THANKS SO MUCH FOR YOUR OPPINION,,,WE NEED MORE DOCTORS LIKE YOU THAT TAKE THE TIME TO RESPOND TO PATIENTS THEY DO NOT EVEN KNOW,,,YOU MUST BE A GREAT DOCTOR,,JUST TO FAR AWAY FROM ALABAMA TO BE ABLE TO USE,,,YOU HAVE A BLESSED DAY,,,THANKS AGAIN FOR YOUR TIME,,,,,,,,,,,,,GINGERBREAD

[Thomas D Schiano, MD]

the best of luck with things