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Are Visible Veins On Chest And Ribs Symptoms Of Liver Disease?

Posted on Tue, 11 Nov 2014

Question: Do thread veins on chest and ribs mean liver disease like cirrosis. Liver funtion test all within range. Ultrasound shows diffuse fatty liver. Hypochondriac

Answered by Dr. Dr Samir Patil (2 minutes later)

welcome

it can be suggestive of early liver disease.
avoid alcohol, fatty and oily food.
take glucose rich diet.
do regular follow up.
plz reply with thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr Samir Patil (3 minutes later)

Bilirubin.4, albumin 4.7, ast 37 alt44. Portal vein patent and shows systolic flow of 32.2cm/sec. Flow is hepatopetal. Alcohol user.

Answered by Dr. Dr Samir Patil (7 hours later)

Brief Answer:
unlikely

Detailed Answer:
Hello,
I have read your description. It would be helpful if you could upload a photograph of the veins.
Going by your liver function teats you do not have any evidence of cirrhosis. Hence the veins were unlikely to be due to liver disease however I would suggest you visit your doctor to get them examined.
Regards
Dr Samir Patil

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Dr Samir Patil (15 hours later)

I was diagnosed with cholesteral ester storge disease when young. And take lipitor. Get lft's every six months. Alt and ast have been mildly elevated over the years. These are copies of the last tests. I will upload pics of the veins as soon as i can.

Answered by Dr. Dr Samir Patil (1 hour later)

Brief Answer:
does not suggest cirrhosis

Detailed Answer:
Hello,
Your liver function tests are normal, the ultra sound shows fatty liver .
There is nothing which might suggest cirrhosis in these reports.
Your common bile duct is dilated I would like to know if it was the same in previous scans.
I would consider an MRCP to evaluate the cause of the dilated bile duct.
Regards
Dr Samir Patil

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr Samir Patil (46 hours later)

MRCP from 11/2012 will send vein photos soon as i can get a good picture.

Answered by Dr. Dr Samir Patil (1 hour later)

Brief Answer:
normal biliary tree

Detailed Answer:
Hello,
Your MRCP does not reveal any abnormality in the biliary system. And of also suggests that there is fatty liver and no features of cirrhosis.
It is unlikely that you have cirrhosis
Regards
Dr Samir Patil

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr Samir Patil (2 days later)

Best picture i could take. Veins in lower left corner of picture. On rib cage. Sorry for the delay.

Answered by Dr. Dr Samir Patil (7 hours later)

Brief Answer:
don't look like those seen in cirrhosis

Detailed Answer:
Hello,
The veins in the lower left corner do not look like the veins seen in cirrhosis
Regards
Dr Samir Patil

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Above answer was peer-reviewed by : Dr. Yogesh D