Please help understand the MRI result below. Last Ultrasound (6/2020) and CT (4/2019) were normal and didn't have any liver cyst. I've known of the kidney cyst for several years.
My AFP tumor Marker test has always been less than 6.1 (normal upper limit) with the last one on 9/17/2020 5.7 . Another doctor recommended the triple biomarker - DCP/AFP & AFP L3 and the result came back on 1/13/2021 with Total AFP of 7.1 (normal range 1.6 - 4.5 ng/ml). DCP < 1.0 and AFP L3 not detected. Should this be a concern?
My AST/ALT 20/22 on 12/31/2020 - always in the normal range since 2012.
eGFR NON-AFR. AMERICAN 90
eGFR AFRICAN AMERICAN 105
CARBON DIOXIDE 28
PROTEIN, TOTAL 7.3
ALBUMIN/GLOBULIN RATIO 1.6
BILIRUBIN, TOTAL 0.9
ALKALINE PHOSPHATASE 49
INR - 1
PT - 10.9
Vit D- 58
MRI ABDOMEN W/WO CONTRAST
Chronic viral hepatitis B without delta-agent
MRI Enterography dated 4/15/2016
Multiplanar, multisequence images obtained of the abdomen with and without IV
contrast. Pelvis not ordered or scanned.
Motion degraded study.
Thorax: Visualized thorax clear of significant pathology.
Liver: 8 mm T2 hyperintense, T1 hypointense, nonenhancing cyst and segment 7. No
enhancing mass. No biliary dilation..
Gallbladder: No stones or inflammation. Nondistended. This a linear T2 hypointense
structure extending along the anterior wall of the gallbladder from the neck to the
fundus, greatest in thickness at the fundus where it measures approximately 6-7 mm.
This is hyperintense on the Eovist sequences such as series 9, most conspicuous on
Adrenal Glands: Unremarkable.
Kidneys: No acute pathology. 1.9 cm simple cyst upper pole left kidney, enlarged from
Bowel: No obstruction, inflammation, or mass.
Vasculature: No significant pathology.
Lymph Nodes: No pathologically enlarged or abnormal nodes.
Abdominal Wall: Normal.
Bones: No significant pathology.
Additional Significant Findings: None
1. NO ACUTE ABDOMINAL PATHOLOGY. NO ENHANCING LIVER MASS.
2. BENIGN CYSTS IN THE RIGHT HEPATIC LOBE AND UPPER POLE OF THE LEFT
3. INDETERMINATE T2 HYPOINTENSE LINEAR STRUCTURE ALONG THE
ANTERIOR WALL OF THE GALLBLADDER FROM THE NECK TO THE FUNDUS,
GREATEST IN THICKNESS AT THE FUNDUS WHERE IT MEASURES 7 MM. THIS
COULD REPRESENT ARTIFACT FROM BILIARY EXCRETION OF EOVIST, OR
POSSIBLY SOME SORT OF VASCULAR STRUCTURE. LIKELY BENIGN OR
ARTIFACTUAL, BUT A FOLLOW-UP WITH A GALLBLADDER ULTRASOUND IS
RECOMMENDED WITH SPECIFIC ATTENTION TO THE ANTERIOR WALL OF THE