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What Does My Ultrasound Scan Report Indicate?
Question: Can you please explain the following ultrasound and what it may mean (benign/malignant/liver cancer/disease)? I have had some minor upper ab discomfort here and there but nothing major other than 1 time over a month ago. My bloodwork 3 months ago was all within normal limits, though cholesterol on high end of normal and high vitamin B12, and eGFR of 64. I don't smoke/drink, though eat meat.,,I have been taking Vitamin B and 2000mg of Vitamin C/Lysine supplements over the past few years. Could this cause liver issues?
Below are the Ultrasound reports from most recent to past.
Aug 2017: Comparison to July 2016 u/s. Findings: 3 hyperechoic foci are identified within the liver. One in segment 6 measuring 2.5x1.4.2.1 cm, stable in size since previous, however its sonographic characteristics have changed, as it is diffusely hyperechoic today, demonstrating central hypoechogenicity previously. Two new lesions are identified, one within segment 7, measuring 1.4x1.5x1.4 cm and one within segment 4A measuring 7x5x4 mm. Stable gallbladder with 5mm polyp. Pancreas/spleen/left kidney are normal. Right kidney demonstrates 5mm cortical cyst.
Impression: Dominant hyperechoic lesion within liver is overall stable in size, however its sonographic characteristics have changes, as described above. Two new hepatic lesions identified. Given findings, further assessment recommended for further characterization.
PREVIOUS ultrasound reports:
July 2016 - Liver demonstrates hyperechoic nodule with more echogenic periphery in lateral aspect of right lobe measuring 2.1x1.4x2.0 cm, previously 2.0x1.8x1.7 cm and 2.1x1.5.1.9 cm. Gallbladder demonstrates 5mm probable fundal polyp. No bilary tree dilation. Pancreas, spleen, kidneys, abdominal aorta within normal limits. No significant free fluid. Opinion: Hepatic nodule not significantly changed since previous examinations. Long term stability should be demonstrated. 5 mm gallbladder polyp.
Feb 2016 - Slightly echogenic mass in right lobe of liver 2.0x1.8x1.7 cm and is stable from August 2015. Incidental adenomyomatosis is suspected in fundus of gallbladder. All other organs normal.
Aug 2015 - Right lobe of liver 2.1x1.5x1.9 cm well defined slightly hyperechoic mass consistent with hemangioma. No other liver lesions seen. Mild irregularity of gallbladder wall at fundus with questionable 6mm polyp. All other organs normal. Liver lesion seen on recent CT has appearance of hemangioma.
Aug 2013 "No abnormalities seen in pancreas/spleen/kidneys/abdominal aorta. Liver is of uniform echogenicity and bile ducts are not dilated. Gallbladder has normal thickness, free of calculi"
Below are the Ultrasound reports from most recent to past.
Aug 2017: Comparison to July 2016 u/s. Findings: 3 hyperechoic foci are identified within the liver. One in segment 6 measuring 2.5x1.4.2.1 cm, stable in size since previous, however its sonographic characteristics have changed, as it is diffusely hyperechoic today, demonstrating central hypoechogenicity previously. Two new lesions are identified, one within segment 7, measuring 1.4x1.5x1.4 cm and one within segment 4A measuring 7x5x4 mm. Stable gallbladder with 5mm polyp. Pancreas/spleen/left kidney are normal. Right kidney demonstrates 5mm cortical cyst.
Impression: Dominant hyperechoic lesion within liver is overall stable in size, however its sonographic characteristics have changes, as described above. Two new hepatic lesions identified. Given findings, further assessment recommended for further characterization.
PREVIOUS ultrasound reports:
July 2016 - Liver demonstrates hyperechoic nodule with more echogenic periphery in lateral aspect of right lobe measuring 2.1x1.4x2.0 cm, previously 2.0x1.8x1.7 cm and 2.1x1.5.1.9 cm. Gallbladder demonstrates 5mm probable fundal polyp. No bilary tree dilation. Pancreas, spleen, kidneys, abdominal aorta within normal limits. No significant free fluid. Opinion: Hepatic nodule not significantly changed since previous examinations. Long term stability should be demonstrated. 5 mm gallbladder polyp.
Feb 2016 - Slightly echogenic mass in right lobe of liver 2.0x1.8x1.7 cm and is stable from August 2015. Incidental adenomyomatosis is suspected in fundus of gallbladder. All other organs normal.
Aug 2015 - Right lobe of liver 2.1x1.5x1.9 cm well defined slightly hyperechoic mass consistent with hemangioma. No other liver lesions seen. Mild irregularity of gallbladder wall at fundus with questionable 6mm polyp. All other organs normal. Liver lesion seen on recent CT has appearance of hemangioma.
Aug 2013 "No abnormalities seen in pancreas/spleen/kidneys/abdominal aorta. Liver is of uniform echogenicity and bile ducts are not dilated. Gallbladder has normal thickness, free of calculi"
Brief Answer:
All terminologies with conclusions given in details explanations .
Detailed Answer:
Hello dear
Welcome to Healthcaremagic.com
I have evaluated your query thoroughly .
* Let me explain first the terminologies you want to understand in depth .
* Benign - non cancer condition which may involve -- hemangioma , focal
nodular hyperplasia , hepatic steatosis , adenoma with fat , others .
* Malignant - cancer which may be primary of liver as hepatocellular carcinoma
or secondary spread from other organs .
* Liver cancer - cancer of the liver .
* Liver disease - any condition of the liver .
Impression from co relating all your reports of past and recent
- Lesion of liver is static in size almost with very minute difference of size .
- Change in echo texture suggest internal fat content alterations mostly .
- New appearing two lesions suggest additional adenoma or hemangioma with
fat deposition mostly .
- Intake of meat and borderline cholesterol levels are sounding possible for
such condition most likely .
- Vitamins do not look responsible for the condition .
* Recommendations at present
- Should strongly consider to quit meat and all other non veg items .
- Strict control of cholesterol .
* Tell me about following to assist further
1. Life style - walking , exercise levels .
2. Stress factors .
3. Sleep pattern .
4. Weight gain in recent or so .
Awaiting for your response .
Regards .
All terminologies with conclusions given in details explanations .
Detailed Answer:
Hello dear
Welcome to Healthcaremagic.com
I have evaluated your query thoroughly .
* Let me explain first the terminologies you want to understand in depth .
* Benign - non cancer condition which may involve -- hemangioma , focal
nodular hyperplasia , hepatic steatosis , adenoma with fat , others .
* Malignant - cancer which may be primary of liver as hepatocellular carcinoma
or secondary spread from other organs .
* Liver cancer - cancer of the liver .
* Liver disease - any condition of the liver .
Impression from co relating all your reports of past and recent
- Lesion of liver is static in size almost with very minute difference of size .
- Change in echo texture suggest internal fat content alterations mostly .
- New appearing two lesions suggest additional adenoma or hemangioma with
fat deposition mostly .
- Intake of meat and borderline cholesterol levels are sounding possible for
such condition most likely .
- Vitamins do not look responsible for the condition .
* Recommendations at present
- Should strongly consider to quit meat and all other non veg items .
- Strict control of cholesterol .
* Tell me about following to assist further
1. Life style - walking , exercise levels .
2. Stress factors .
3. Sleep pattern .
4. Weight gain in recent or so .
Awaiting for your response .
Regards .
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you for your detailed and easy to read response. Also, what does "diffusely hyperechoic" vs "central hyperechogenicity" mean, as well as "change in sonographic characteristics"?
1. I exercise 5 days a week using a high intensity workout 25-30 minutes...plyometric/weight/High Intensity Interval training.
2. Stress - A high school math/science teacher ..I allow myself to become stressed..worry too much at times. I have been told I stress/worry too much.
3. Sleep pattern is not the greatest..I don't normally get 8 hours of consistent sleep...usually wake up late at night then get back to sleep.
4. I've been trying to lose 15-20 pounds. However, my diet has not been great the past few months..late night eating, particularly meat. I do have my servings of fruit/veggies, particularly spinach, broccoli, carrot juice.
1. I exercise 5 days a week using a high intensity workout 25-30 minutes...plyometric/weight/High Intensity Interval training.
2. Stress - A high school math/science teacher ..I allow myself to become stressed..worry too much at times. I have been told I stress/worry too much.
3. Sleep pattern is not the greatest..I don't normally get 8 hours of consistent sleep...usually wake up late at night then get back to sleep.
4. I've been trying to lose 15-20 pounds. However, my diet has not been great the past few months..late night eating, particularly meat. I do have my servings of fruit/veggies, particularly spinach, broccoli, carrot juice.
Brief Answer:
answer in follow up framed upon the further details provided.
Detailed Answer:
Hi Welcome
* Hyperechoic is brighter than surrounding tissue in ultrasound finding .
Central means only part in the center is brighter , surrounding part is not .
Diffusely means the whole part is brighter .
* Change in sonographic characteristics means the lesion which was previously
showing certain echogenicity now it is showing different echogenicity .
Many liver conditions are known to change their echogenicity say as
hemangioma or others .
* My strong recommendations for you :
- Stress is your major enemy for all deterioration .
Must must control it at earliest , you are the pioneer of the society and if you
remain stressed what message will go to your students ?
- Sleep pattern is also needed to be maintained , as this will effect on long
term health hazards .
- Daily meditations , deep breathing exercises , walking in fresh air , YOGA
will help tremendously on long term basis for both of the above .
- Strict monitoring of the body weight with exercise , diet management .
- Late night dinners should be avoided till possible .
- Prefer more of veg items .
- Avoid all dairy fat , high caloric items , non veg stuffs , cheese , eggs which
which raise your cholesterol levels .
- Avoid sleeping for at least 3 hrs after meals , which will dampen the
digestions .
- No prolong fasting , over eating .
- Regular monitoring of the ultrasound for the lesions .
* As such there are no signs of cancer at present , and we pray to God
that does not happen in your whole life also .
Welcome for further guidance .
Suggest to keep in action the above said guidelines and see the scene changing in your life from internal depth .
Regards .
answer in follow up framed upon the further details provided.
Detailed Answer:
Hi Welcome
* Hyperechoic is brighter than surrounding tissue in ultrasound finding .
Central means only part in the center is brighter , surrounding part is not .
Diffusely means the whole part is brighter .
* Change in sonographic characteristics means the lesion which was previously
showing certain echogenicity now it is showing different echogenicity .
Many liver conditions are known to change their echogenicity say as
hemangioma or others .
* My strong recommendations for you :
- Stress is your major enemy for all deterioration .
Must must control it at earliest , you are the pioneer of the society and if you
remain stressed what message will go to your students ?
- Sleep pattern is also needed to be maintained , as this will effect on long
term health hazards .
- Daily meditations , deep breathing exercises , walking in fresh air , YOGA
will help tremendously on long term basis for both of the above .
- Strict monitoring of the body weight with exercise , diet management .
- Late night dinners should be avoided till possible .
- Prefer more of veg items .
- Avoid all dairy fat , high caloric items , non veg stuffs , cheese , eggs which
which raise your cholesterol levels .
- Avoid sleeping for at least 3 hrs after meals , which will dampen the
digestions .
- No prolong fasting , over eating .
- Regular monitoring of the ultrasound for the lesions .
* As such there are no signs of cancer at present , and we pray to God
that does not happen in your whole life also .
Welcome for further guidance .
Suggest to keep in action the above said guidelines and see the scene changing in your life from internal depth .
Regards .
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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