Aa
Abnormal ultrasound coarse echo texture of the liver
Hello,
I'm almost 44, Chronic Hep b carrier. Diagnosed in 1994, probably from birth. Started Viread 300mg daily treatment, last May, as viral load went up. Last blood test, show the viral activity decreased since we started treatment, meaning the medicine is working, my GE said. I asked him about the US results, he said were fine. About a month ago', the doctor called me, informing me he wants to do an MRI. He said he's pretty sure everything is ok, but when i asked him what he thinks was wrong, he said something about "Nodules", this was quick over the phone, couldn't understand well. We did the MRI, last Monday, and waiting for results. On the medical order to schedule the MRI, says: " Coarse echo texture of the liver, with hyperechoic foci, seen on US". How bad this can be? Could this mean cirrhosis or liver cancer? Please help, thank you.
I'm almost 44, Chronic Hep b carrier. Diagnosed in 1994, probably from birth. Started Viread 300mg daily treatment, last May, as viral load went up. Last blood test, show the viral activity decreased since we started treatment, meaning the medicine is working, my GE said. I asked him about the US results, he said were fine. About a month ago', the doctor called me, informing me he wants to do an MRI. He said he's pretty sure everything is ok, but when i asked him what he thinks was wrong, he said something about "Nodules", this was quick over the phone, couldn't understand well. We did the MRI, last Monday, and waiting for results. On the medical order to schedule the MRI, says: " Coarse echo texture of the liver, with hyperechoic foci, seen on US". How bad this can be? Could this mean cirrhosis or liver cancer? Please help, thank you.
You should discuss this with your doctor but what I found in a quick google search
"A hyperechoic liver lesion is a region on that liver that shows up on an ultrasound. This can be the result of a number of different conditions, some benign and some malignant.
Among the most common cause of a hyperechoic liver lesion and one of the benign conditions is a hepatic hemangioma. This is the most common type of benign tumor of the liver and the most prevalent type of liver tumor overall. The causes of are thought to be congenital, meaning a patient is born with it. According to the Mayo Clinic, a hepatic hemangiona usually is asymptomatic and does not require any treatment. However, if the tumor grows large enough and causes obstruction with other organs in the abdomen, treatment options include surgery to remove the tumor and procedures to stop blood flow to the tumor so it shrinks.
Other benign conditions that may be the result of a hyperechoic liver lesion include a hepatic adenoma, focal fatty change, and an inflammatory pseudotumor of the liver, according to Radiopaedia.org. Malignant conditions that may result in a hyperechoic liver lesion include hepatic metastases and hepatocellular carcinoma, the latter common in livers that have been diagnosed with cirrhosis. Both of these conditions are serious and require immediate treatment and intervention, according to the National Cancer Institute."
Me again course echo texture means your liver has a roughened surface texture a normal liver would be smooth. But could be a lot of things including you have hep b
Coarsened hepatic echotexture is a sonographic descriptor where there uniform smooth hepatic echotexture of the liver is lost. This can occur due to number of reasons which include:
conditions that cause hepatic fibrosis 1
cirrhosis
haemochromatosis
various types of hepatitis
particularly chronic hepatitis
conditions that cause cholestasis
choledochal cysts: probably from secondary cholestasis 3
certain bile duct tumours: will also usually show of accompanying biliary duct dilatation
biliary atresia
diffusely infiltrating hepatic metastases
hepatic lymphoproliferative diseases
hepatic lymphoma: although generally presents as a focal liver disease
hepatic leukaemia
small multiple biliary hamartomas
as a hepatic manifestation of sickle cell disease.
metabolic abnormalities
hepatic amyloidosis
glycogen storage disease
"A hyperechoic liver lesion is a region on that liver that shows up on an ultrasound. This can be the result of a number of different conditions, some benign and some malignant.
Among the most common cause of a hyperechoic liver lesion and one of the benign conditions is a hepatic hemangioma. This is the most common type of benign tumor of the liver and the most prevalent type of liver tumor overall. The causes of are thought to be congenital, meaning a patient is born with it. According to the Mayo Clinic, a hepatic hemangiona usually is asymptomatic and does not require any treatment. However, if the tumor grows large enough and causes obstruction with other organs in the abdomen, treatment options include surgery to remove the tumor and procedures to stop blood flow to the tumor so it shrinks.
Other benign conditions that may be the result of a hyperechoic liver lesion include a hepatic adenoma, focal fatty change, and an inflammatory pseudotumor of the liver, according to Radiopaedia.org. Malignant conditions that may result in a hyperechoic liver lesion include hepatic metastases and hepatocellular carcinoma, the latter common in livers that have been diagnosed with cirrhosis. Both of these conditions are serious and require immediate treatment and intervention, according to the National Cancer Institute."
Me again course echo texture means your liver has a roughened surface texture a normal liver would be smooth. But could be a lot of things including you have hep b
Coarsened hepatic echotexture is a sonographic descriptor where there uniform smooth hepatic echotexture of the liver is lost. This can occur due to number of reasons which include:
conditions that cause hepatic fibrosis 1
cirrhosis
haemochromatosis
various types of hepatitis
particularly chronic hepatitis
conditions that cause cholestasis
choledochal cysts: probably from secondary cholestasis 3
certain bile duct tumours: will also usually show of accompanying biliary duct dilatation
biliary atresia
diffusely infiltrating hepatic metastases
hepatic lymphoproliferative diseases
hepatic lymphoma: although generally presents as a focal liver disease
hepatic leukaemia
small multiple biliary hamartomas
as a hepatic manifestation of sickle cell disease.
metabolic abnormalities
hepatic amyloidosis
glycogen storage disease
4 Comments
Hello,thanks for your reply. Yes, I looked at this information online already. On anyway, last week we did the MRI, and I'm waiting for the doctor to call me in the results. I have been looking at your replies on the forum. You seem to be pretty informed about things, and you knew the person who passed away, used to go by "Hector", I saw someone posted something about his memorial. Can I ask you what do you suffer from? What's your condition.?
Yes we all still feel the loss of HectorSF he was our support and friend he knew so much information because he had been through it all. The only reason I know what I do is from reading his posts. And his answers to my questions.
I had hep c for 37 years. I was diagnosed when I donated blood in Nov 1990. I probably been infected for 12 years by then.
I treated 3 times with the old interferon treatments but was a non responder to the medicines. So I was monitored over the following years. I had liver biopsies every 5 years and on my 4th biopsy in Jan 2008 I was diagnosed with liver cirrhosis. A new treatment was approved shortly after still using interferon but with a new medicine telaprevir but the doctors would not let me even try it because the odds of it working were about 14% for someone with my history and it could cause me to go into liver failure.
So from Jan 2008 I was waiting either for a miracle or to decompensate and go into liver failure. Finally they invented the newest medicines a couple of years ago. I took Harvoni for 24 weeks along with Ribavirin for 15 of those weeks and was cured of hep c in May 2015. However, I still have liver cirrhosis for over 9 years now. The hope is since I am now cured of hep c I may start to improve with time but so far my platelet count has improved a little but still well below minimum normal of 150. On my last test my platelet count was 110. Also I had developed esophageal varicies back in 2012 so I have an upperendoscopy every year along with blood testing and abdominal ultrasound every 6 months to monitor for early signs of liver cancer since because I have cirrhosis I am at increased risk of HCC.
So that's my story. You should read some of Hectors old posts there is tons of information there.
I had hep c for 37 years. I was diagnosed when I donated blood in Nov 1990. I probably been infected for 12 years by then.
I treated 3 times with the old interferon treatments but was a non responder to the medicines. So I was monitored over the following years. I had liver biopsies every 5 years and on my 4th biopsy in Jan 2008 I was diagnosed with liver cirrhosis. A new treatment was approved shortly after still using interferon but with a new medicine telaprevir but the doctors would not let me even try it because the odds of it working were about 14% for someone with my history and it could cause me to go into liver failure.
So from Jan 2008 I was waiting either for a miracle or to decompensate and go into liver failure. Finally they invented the newest medicines a couple of years ago. I took Harvoni for 24 weeks along with Ribavirin for 15 of those weeks and was cured of hep c in May 2015. However, I still have liver cirrhosis for over 9 years now. The hope is since I am now cured of hep c I may start to improve with time but so far my platelet count has improved a little but still well below minimum normal of 150. On my last test my platelet count was 110. Also I had developed esophageal varicies back in 2012 so I have an upperendoscopy every year along with blood testing and abdominal ultrasound every 6 months to monitor for early signs of liver cancer since because I have cirrhosis I am at increased risk of HCC.
So that's my story. You should read some of Hectors old posts there is tons of information there.
Also ultrasound is not a definitive way to diagnosis cirrhosis it can be indicative of cirrhosis along with other testing.
The liver biopsy is the "gold standard" for diagnosis but there are other less invasive tests also available although they are less accurate in mid ranges of liver damage but more accurate for cirrhosis.
One of the tests is called a Fibroscan which is similar to an ultrasound but produces a "thump" to determine liver stiffness. Not all doctors have access to the devise. The other test is called Fibrosure which is a blood test that can also estimate liver damage.
The liver biopsy is the "gold standard" for diagnosis but there are other less invasive tests also available although they are less accurate in mid ranges of liver damage but more accurate for cirrhosis.
One of the tests is called a Fibroscan which is similar to an ultrasound but produces a "thump" to determine liver stiffness. Not all doctors have access to the devise. The other test is called Fibrosure which is a blood test that can also estimate liver damage.
Hello again. Yes, i will message you private and tell you more about it.Thanks again.
Have an Answer?
You are reading content posted in the Cirrhosis of the Liver Community
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
