Liver lesions and calcification CT report. help understanding

[MoMo121587]

I'm a 25 y.o. Female.  A month ago I stated having breakthrough vaginal bleeding and saw a nurse practitioner to stop it.  I was prescribed oral contraceptive and Bactrim for a uti.  I returned a week later to finish my exam and she found microscopic blood in my urine.  It def. Wasn't from a vaginal source.  I saw my primary who referred me to a urologist.  He ordered an abdominal CT scan.  He went over the kidney lesion but never mentioned anything about my liver.  I also tested positive for blood in the urine three more times since then.  The CT scan results are as follows:

Punctate left hepatic lobe calcification.  0.9 left hepatic love lesion seen only during arterial phase imaging likely represents an adenoma or a flash filling hemangioma.  1 cm slightly heterogeneous hypodense right hepatic love lesion best seen on portal venous phase imaging may represent hemangioma.  1.1 cm heterogenous hypodense right posterior hepatic done lesion best seen on.portal venous phase of imaging also likely represents hemangioma.  The pancreas, spleen, adrenals, and gallbladder are unremarkable.  No urinary Tract calculi or hydronephrosis.  .7 cm hypodense lesion mid pole left kidney is too small to characterize but likely a cyst.  Right kidney is unremarkable.  
No bowel abstraction or ascites.  Uterus is unremarkable.  Trace free fluid in the pelvis likely physiologic urinary bladder is partially collapsed and unremarkable.  Lack of oral contrast limits evaluation of bowel.  Moderate colonic stool.  No abcess or free air.  No measurable adenopathy.

Impression:
No urinary tract calculi or hydronephrosis.  .7 cm hypodense lesion mid pole left kidney too small to characterize but likely a cyst.  Three liver lesions as detailed above likely represent  hemangioma with one possibly representing an adenoma.  
Abdominal MRI with and without contrast may be obtained to further characterize the hepatic and left renal lesions as clinically warranted.

Does the as clinically warranted mean he is suggesting an MRI? I called my primary and they said they haven't received the CT scan results yet.  What about the calcification? That worries me the most and I still have blood in my urine.

[Dee1956]

Hi I am really glad you got an answer.
I hope all works out for you. With your family history I can really understand your concern.
Hang in there.  You are really young, it is goo thing you are taking care of your health
Take Care
Dee

[MoMo121587]

Thanks douche for responding to me! My urologist let me know about the lesion on the kidney but didn't let me know about anything on my liver.  When I called my primary they didn't have a copy of CT scan at all for some reason.  However, I got a chance to talk my primary yesterday and he pulled the results and also spoke to the radiologist.  both my primary and my radiologist think its all most likely due to a benign nature but will order an mri anyway.  I should have already received a phone call to schedule it  but the doc told me if i dont hear from them by tomorrow morning to personally call him.  Thanks again for answering.  the doc says not to worry but ive already lost all my grandparents to cancer and my mom got diagnosed with stage 3 brain cancer at only 45 so ita hard not to worry.. The MRI shouls give me some reassurance.  

[Dee1956]

Hi I did a search and found a description of a hemangioma.
I just re-read your question.  Are you saying that your doctor told you about the lesion in your kidney but never mentioned the liver?..then when you called the office staff said that they did not have the results?

Liver hemangioma

See: http://tinyurl.com/cvrd4y6


Treatments and drugs
By Mayo Clinic staff

Most people don't need treatment
If your liver hemangioma is small and doesn't cause any signs or symptoms, you won't need treatment. While you may be worried about leaving a liver mass untreated, in most cases a liver hemangioma will never grow and will never cause problems.

Your doctor may schedule follow-up exams to check your liver hemangioma periodically for growth.

[Dee1956]

Hi there I think you need to talk to your doctor about this. I am sorry your are going thtough rhis alone, it really is not fair .   As you can read you have some lesions on your liver. From reading it looks as if  they feel it may need to be looked at further.
I am not a doctor however I have calcification in my breast and was told it was nothing about, I will try to search for something.
It also appears that they think contrast would help, not sure why they did not do a CT with contrast but that would have been up to the doctor.  Are you on any medication for a UTI?
I will be back
D