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171927 tn?1294023723

US: Hemangioma. CT: Fatty infiltration. Possible C word?

Hello, 29 year old female, I have been ill since September this year. You can check my journals for more details there. In October I had an Ultrasound with the following results:

The liver is normal in size and echotexture. A solitary 3.4cm echogenic focus is noted in the left lobe with appearances most likely representing a hemangioma. So far, AST/SGOT, ALT/SGPT, GGT, are normal. Bilirubin has been moderately high for years and I've been told not to worry.

I also had an ultrasound last year, that did not detect any abnormalities at all. All of the doctors that I've seen seemed very unconcerned about the hemangioma finding, though I did find one who ordered a follow-up CT-scan with contrast dye this December (because I asked for follow-up). Well, I had the CT scan yesterday and already received a call from the clinic about the results today. I didn't quite catch everything the nurse told me on the phone, but she said that the radiologist reported that it appeared that it was a fatty infiltration of the liver and has recommended a follow up MRI. I am very worried at this point. I have had problems with digesting food for almost four years. So far, with my other symptoms, the doctors have been looking at an autoimmune disorder (positive ANA 1:160 w/ two patterns). Why are they recommending an MRI now? Is it because they are unsure as to whether this could be cancerous.

If anyone has any information about fatty liver and/or the likely hood that this is something other than that, could you please post. How easy is it to distinguish between cancer and hemangioma/fatty liver infiltration. If they thought that it was cancer, one of the two radiologist would have mentioned it as being something suspicious, wouldn't you think?
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171927 tn?1294023723
Thanks.

If they suspected cancer, they probably would have also mentioned so on the report? Any way, I will go and have a doctor read the report (possibly get a copy) tomorrow afternoon.The doctor that sent me for the CT is on vacation until after x-mas. I do not have a primary and this test was ordered through a clinic, although I do have a GI specialist, whom I'm not sure has received (or will be copied on these results). I'll have to fax this myself. He's very slow. I will definitely post when I have more information. I'm just so worried that this could be connected to my ongoing bowel issues and that it's the bad C spread to my liver, which would not be a good thing. I've been exhausted for a while and do not eat unduly amounts of fat, I'm only 104 lbs.

So you think the radiologist would have recommended a Pet/scan? If there was any question about it being a malignancy, they would have mentioned something...
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Avatar universal
Its probably good news they want an MRI, They probably didnt find enough going on in your liver to warrant your complaints so they are looking into other things. If they suspected cancer they would have orderd a Pet/scan. Also alot of times Doctors will oreder alot of testing that isnt necessery because it keeps other doctors/radiogists busy. Early this year I was given an entire colonoscopy for a tiny anal fissure.
At any rate let us know what they find out.
Helpful - 0
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