52 wf having neurological problems, loss of balance, speech difficulties, mouth droop, pins & needles in legs & feet. MRI of brain just came back clean but in looking thru old medical records found a MRI from 2004 show multiple lesions on my liver ranging from small to large, the largest 4.5 cm. could all this be related, liver & neurological problems? Just had an ultra sound today of my liver won’t know results till next week. Does this sound like cancer and could there be a neurological disease causing this?
It may be difficult to comment anything without knowing the complete history, clinical examination and investigations. Multiple cystic lesions of the liver can be seen in developmental, neoplastic, inflammatory, or miscellaneous liver diseases. Primary liver neoplasms, cystic metastases, pyogenic and amebic abscesses, intrahepatic hydatid cyst are few possibilities. Xanthomatous peripheral neuropathy, Reye’s syndrome, or neurological consequences of hepatic lesions characterized by specific enzyme deficiencies like congenital hyperammonaemias, the porphyrias, kernicterus, galactosaemia, and Zellweger’s syndrome called cerebrohepatorenal syndrome can all manifest with liver disease and neurological manifestations. It may be difficult to say anything without complete evaluation. Do keep me posted on the ultrasound report.
Take care and regards!
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