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CT scan of abdomen, pelvis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   hi
Doctor :   Hi
User :   i just have a question re a ct scan i had done of my abdomen & pelvis
Doctor :   I am
Doctor :   Ok.
Doctor :   Please go on.
User :   results are.....the liver has a heterogenous appearance with large wedge shaped areas of hypodensity in both right and left lobes which are thought secondary to fatty infiltration with areas of fatty sparing. No enhancing lesions are this an ok result, as my gp wasnt concerned....i just have anxiety and like reassurance
User :   im a 28 yo female
User :   non smoker, not a big drinker
Doctor :   Ok.
Doctor :   May I know your height and weight and if you liver is enlarged ?
User :   height is abut 5 foot 6, and my weight is 99.5 kgs...quite overweight....doesnt mention enlarged
Doctor :   Ok.
User :   liver blood tests all good also
Doctor :   How is your serum bilirubin ?
User :   what does that mean
Doctor :   It is a test to evaluate the liver function .
Doctor :   I would be able to help you better if you can give me ;
Doctor :   S.Bilirubin
Doctor :   2. S.Creatinine.
User :   all i know is blood test results are ok with the liver....creatinine was 69 and bilirubin is 7
Doctor :   Let me make you understand the comment that was given in the report.
User :   thank u
Doctor :   First,It actually states that your Liver has got fatty liver changes.
Doctor :   Second, it says that fatty liver cellular changes are seen almost all over the liver but there is some sparing in some parts of the liver.
Doctor :   Third, After the fatty liver -- the liver cells get involved in further pathogenic changes which has not been seen and is a good sign and is encouraging.
User :   ok....
Doctor :   So No enhancing lesions means as of now everything is fine, but fatty liver must be a cause of worry.
Doctor :   At this stage let me suggest you a few steps to recuperate better : Doctor :   1.Please abstain from fatty diet or junk diet like burgers or pizzas or pastries.
Doctor :   2. Please adopt to veggie,fruits and juices with low glycemic index.
Doctor :   3. Have lots of sprouts and green leaves.
User :   yes the doctor has mentioned these things to me, which im trying to do anyway
User :   so how is fatty liver a cause of he wasnt worried
Doctor :   4. You need to bring back your BMI to 24 , so i feel a 30kg. reduction in weight is necessary.
Doctor :   Fatty liver can lead to necrosis or liver tissue at advanced stages due to lack of blood supply.
Doctor :   So keep low load of fats to liver as it is the seat of fat metabolism and extra load may cause harm
Doctor :   take care.
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