i think that this is a hemangioma from what you describe. the test of choice is a contrast MRI--I am not aware frankly of anyone developing (extremely rare overall)NSF with having normal renal function. for peace of mind i would encourage you to get the MRI.
Thank you for taking the time to respond to my post Doctor. I would be very grateful if you could shed some light on my other questions.
My last ultrasound from this week states:
History: Echogenic mass right lobe of the liver demonstrated on earlier studies.
The visualized hepatic parenchyma demonstrates a well circumscribed hypoechoic mass right lobe of the liver measuring 1.9 x 1.7cm. This is without significant change in size and appearance compared with the ultrasound in February.
The gallbladder appears normal without stones. No gallbladder wall edema or pericholecystic fluid collections are present. The common bile duct measures 3 milimeters.
Right kidney appears grossly normal without hydronephrosis. No fluid collections are present in the right upper quadrunt.
The pancreas is not completely visualized but where seen appears normal.
IMPRESSION: Well-circumscribed hyperechoic mass measuring 1.9x 1.7 cm right lobe of the liver without significant change compared with the ultrasound from February. This likely represents an incidental hemangioma. A follow-up study in 6 months time recommended
Is says hypoechoic above but in the IMPRESSION part of the report it then says hyperechoic? Which one is correct? In the past it was always hyperechoic. Also it seems it has grown at last ultrasound I was told it was 18mm but now the new ultrasound says its 1.9 x 1.7 cm. Is this just because there's a margin of error with ultrasound measurements? Or has the hemangioma grown? Am I correct in thinking it has grown but not significantly?
Is a MRI still a good idea? And if I seek a second opinion if so what type of Doctor do I seek a second opinion from?
Forgot to mention above that my last blood test came back high as Bilirubin Total 1.6 (range:0.2-1.0)
Direct Bilirubin 0.3 (range:0.0-0.3)
Is this related or something to be concerned about? I've never had high values with bilirubin in the past. I was fasting for this blood test for about 14 hours.
the hemangioma is hyperechoic and from the measurements it seems that it is actually the same size---18mm=1.8cm. i wouldn't worry about the size. get the MRI for peace of mind. i would seek the opinion of a hepatologist if you need a 2nd opinion. the elevated bilirubin while fasting is most likely Gilbert"s disease, a benign enzyme defect of the liver.
Thank you so much for answering my post Doctor I truly appreciate it. I'm a bit concerned and confused because I was first told that on CT scan it was 1.8 cm which equals 18mm in maximal dimension and I was given no other dimension on the CT scan. The first ultrasound that I had in February stated that it was approximately 1.8cm which equals 18mm, so no change there. But now this most recent ultrasound says 1.9 x 1.7 cm. Am I missing something? I thought 1.9 cm=19 mm? Does this mean it grew or does it mean it's a better measurement now? Can you tell me what maximal dimension means?
i think in essence this is the same size and would not worry about a change of 1 mm