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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Elevated Liver Levels. Scan Report Showed Multiple Cysts In The Liver And Fatty Infiltration. Suggestions?

Hello, Dr. Grief.. My husband had elevated liver levels on his last blood draw in late August this summer and was advised to have an abdomenal ultrasound (he had it last Thursday), which indicated "multiple cysts in the liver (2 in the right and 1 in the left)". The largest is 7.7cm. Also the words "fatty infiltration" and "liver cellular disease" were read to us by our primary care physician's nurse from the report when she called to say the doctor recommends having a CT scan. Can you tell us how serious this may be? He is 73 years old, is 6 feet tall and weighs about 225 lb. I know his BMI is under 33 but don't recall exactly what it is without pulling out his last blood work up (done the end of August this summer). He does not drink alcohol at all. He has diabetes 2, high blood pressure, and high cholesterol. He currently takes 1,000 mg. of Metformin twice per day, 50 mg. of Metoprolol in the morning, 50 mg. of Losartan Potassium at night, 20 mg. of Simvastatin at night, and 0.4 mg. of Tamsulosin at night. He also takes Zyrtec for allergies at night. Thank you, Sandy Nickora
Thu, 26 Sep 2013
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General Surgeon 's  Response
Hi and welcome to HCM.
Liver cysts are usually benign and no treatment is necessary if there is no symptom or rapid grow of cyst or sogn of malignancy.
The most common liver disorders is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didnt find anything and viral markers are negative then you have no reason to be concerned. YOu should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated drinks. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest to go step by step. If you dont have any symptoms then this is just slight and reversible liver damage.
Wish you good health.
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Had Elevated Liver Levels. Scan Report Showed Multiple Cysts In The Liver And Fatty Infiltration. Suggestions?

Hi and welcome to HCM. Liver cysts are usually benign and no treatment is necessary if there is no symptom or rapid grow of cyst or sogn of malignancy. The most common liver disorders is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didnt find anything and viral markers are negative then you have no reason to be concerned. YOu should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated drinks. Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed, but I suggest to go step by step. If you dont have any symptoms then this is just slight and reversible liver damage. Wish you good health.