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What Does My MRI Scan Report Indicate?
Question: hi
in 2012 i was diagnosed with liver hemangioma. about 7 months later i did another ultrasound and the hemangioma was the same. in 2015 i did full abdomen mri and everything was the same( i dont have the mri report. but last week i did another ultra sound and doctor recommended MRI. I am little worried. i attached my 3 reports from 2012 to 2017. do you think do i need to do an MRI? do you see any difference in my reports? because i had an abdominal mri in 2015 and everything was normal. this clinic is a private clinic and i think they are trying to charge me for unnecessary stuff. please tell me what do you think? do you think should i do another MRI?
thanks
in 2012 i was diagnosed with liver hemangioma. about 7 months later i did another ultrasound and the hemangioma was the same. in 2015 i did full abdomen mri and everything was the same( i dont have the mri report. but last week i did another ultra sound and doctor recommended MRI. I am little worried. i attached my 3 reports from 2012 to 2017. do you think do i need to do an MRI? do you see any difference in my reports? because i had an abdominal mri in 2015 and everything was normal. this clinic is a private clinic and i think they are trying to charge me for unnecessary stuff. please tell me what do you think? do you think should i do another MRI?
thanks
Brief Answer:
Please get a dynamic multiphase liver contrast MRI done
Detailed Answer:
Hi,
Thanks for writing in to us.
The ultrasound scan done in 2012 shows the size of suspected hemangioma to be 1.2 x 0.9 x 0.9 cm and a volume of about 0.6 cc.
In the ultrasound scan done in 2017 the size measures 2.0 x 1.5 x 1.8 cm and a volume of 2.7 cc.
In this context the lesion seems to have increased in volume over 4 times in 5 years.
Therefore this could be a slow growing hemangioma. Also it is to be noted that lesions below 1.5 cm are difficult to accurately characterise on imaging.
With the present size of lesion, it might be possible to get a better idea of the nature of the lesion.
Therefore I do not think that you are being charged for unnecessary stuff and the scan can give us more information on the real nature of the lesion.
Please discuss with your doctor and get a detailed MRI scan with multiphase dynamic contrast done as recommended.
Regards,
Please get a dynamic multiphase liver contrast MRI done
Detailed Answer:
Hi,
Thanks for writing in to us.
The ultrasound scan done in 2012 shows the size of suspected hemangioma to be 1.2 x 0.9 x 0.9 cm and a volume of about 0.6 cc.
In the ultrasound scan done in 2017 the size measures 2.0 x 1.5 x 1.8 cm and a volume of 2.7 cc.
In this context the lesion seems to have increased in volume over 4 times in 5 years.
Therefore this could be a slow growing hemangioma. Also it is to be noted that lesions below 1.5 cm are difficult to accurately characterise on imaging.
With the present size of lesion, it might be possible to get a better idea of the nature of the lesion.
Therefore I do not think that you are being charged for unnecessary stuff and the scan can give us more information on the real nature of the lesion.
Please discuss with your doctor and get a detailed MRI scan with multiphase dynamic contrast done as recommended.
Regards,
Above answer was peer-reviewed by :
Dr. Kampana
thanks for your answer.
I was just worried that it might be cancer. because doctor ordered an MRI.can hemangioma gets cancerous in years? I did MRI of abdomen in 2015. and everything was normal.
thanks again.
I was just worried that it might be cancer. because doctor ordered an MRI.can hemangioma gets cancerous in years? I did MRI of abdomen in 2015. and everything was normal.
thanks again.
Brief Answer:
Small hemangiomas are difficult to visualise in non contrast basic MRI scan
Detailed Answer:
Hi,
Thanks for writing back with an update.
Cancerous changes are usually not found in a hemangioma and I have not come across a single case of hemangioma turning in to a cancer.
Probably the MRI done in 2015 was a basic abdomen MRI and the hemangioma did not show up. It is difficult to visualise a small hemangioma in a basic non contrast MRI scan due to technical reasons.
Since there is documentation of the suspected hemangioma in 2 ultrasound scan reports in 2012, I accept that the lesion was there in 2015 when MRI was done be due to technical limitations, it was not well visualised.
Please do write back with any doubts,
Regards,
Small hemangiomas are difficult to visualise in non contrast basic MRI scan
Detailed Answer:
Hi,
Thanks for writing back with an update.
Cancerous changes are usually not found in a hemangioma and I have not come across a single case of hemangioma turning in to a cancer.
Probably the MRI done in 2015 was a basic abdomen MRI and the hemangioma did not show up. It is difficult to visualise a small hemangioma in a basic non contrast MRI scan due to technical reasons.
Since there is documentation of the suspected hemangioma in 2 ultrasound scan reports in 2012, I accept that the lesion was there in 2015 when MRI was done be due to technical limitations, it was not well visualised.
Please do write back with any doubts,
Regards,
Above answer was peer-reviewed by :
Dr. Kampana
thank you
in 2015 MRI report they said the hemangioma size dident change. they dident miss it.
so you are saying ultrasound is more precise than MRI? unless if i do multiphase dynamic contrast ??
I mean with the 2 ultra sound result in 2012 and 1 ultra sound result in 2017. why after 5 years the reports sAys appliances are atypical for a hemangioma.??
so they were misdiagnosed me 5 years ago??? if i was digoneosed correctly 5 years ago why now they are saying it might not be hemangioma.??
thanks very much doctor. you have been very help full.
regards.
in 2015 MRI report they said the hemangioma size dident change. they dident miss it.
so you are saying ultrasound is more precise than MRI? unless if i do multiphase dynamic contrast ??
I mean with the 2 ultra sound result in 2012 and 1 ultra sound result in 2017. why after 5 years the reports sAys appliances are atypical for a hemangioma.??
so they were misdiagnosed me 5 years ago??? if i was digoneosed correctly 5 years ago why now they are saying it might not be hemangioma.??
thanks very much doctor. you have been very help full.
regards.
Brief Answer:
There was no misdiagnosis 5 years back
Detailed Answer:
Hi,
Thanks for writing back with an update.
Ok, I misinterpreted and understood that MRI scan done in 2015 was normal, no mention of hemangioma.
Hemangiomas are small well defined white areas in the liver when seen on ultrasound and this is a typical hemangioma. There are hemangiomas which do not fit completely into the description and these are called atypical hemangiomas.
During the 2017 ultrasound scan there were features which were more atypical in nature so the comment that features atypical for hemangioma.
It is really difficult to characterise a lesion smaller than 1.5 cm and that did not make a misdiagnosis is the description of the lesion is as mentioned in previous reports.
Ultrasound and MRI are 2 different types of scans and the technical basis for the 2 machines is not the same.
I intend to say that for a small lesion of size 1.5 cm or less, ultrasound will help in better pick up than a basic MRI. Dynamic contrast MRI is more precise than ultrasound for most lesions regarding the information on vascularity of such a lesion and this detail tells us the probability of whether it is a cancer or hemangioma in most cases.
Regards,
There was no misdiagnosis 5 years back
Detailed Answer:
Hi,
Thanks for writing back with an update.
Ok, I misinterpreted and understood that MRI scan done in 2015 was normal, no mention of hemangioma.
Hemangiomas are small well defined white areas in the liver when seen on ultrasound and this is a typical hemangioma. There are hemangiomas which do not fit completely into the description and these are called atypical hemangiomas.
During the 2017 ultrasound scan there were features which were more atypical in nature so the comment that features atypical for hemangioma.
It is really difficult to characterise a lesion smaller than 1.5 cm and that did not make a misdiagnosis is the description of the lesion is as mentioned in previous reports.
Ultrasound and MRI are 2 different types of scans and the technical basis for the 2 machines is not the same.
I intend to say that for a small lesion of size 1.5 cm or less, ultrasound will help in better pick up than a basic MRI. Dynamic contrast MRI is more precise than ultrasound for most lesions regarding the information on vascularity of such a lesion and this detail tells us the probability of whether it is a cancer or hemangioma in most cases.
Regards,
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Above answer was peer-reviewed by :
Dr. Kampana
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