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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Risk With Hepatocellular Disease With Complex Cyst

my husband just has a liver ultrasound . I am a nurse ....but still worried .The US showed liver measures 18 cm in size . Increased echotexture. Hypoechechotic area right lobe is somewhat lobulated in configuarion measuring 2.6 mm x2.2x2 CM and left lobe measuring 7.5 x 5 x 5 mm No interhepatic ductal enlargement . Impression Incresed echogenicity throughout the liver with mild prominence of spleen suggest hepatocellular disease. most likely indicate complex cyst . HE HAS UNCONTROLLED NEWLY DX DIABETES JUST SARTED ON METFORMIN AND GLIPZIDE . WITH A RECENT REFER TO A DIBETES /ENDOCRINOLIGIST . WHAT SHOULD WE EXPECT HE HAS A VERY SOON UPCOMING MRI SCHEDULED
Wed, 6 Jan 2016
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Radiologist,  's  Response
Hi
I have seen your ultrasonogram report findings.liver meas 18 cm and increased echotexture means hepatomegaly with fatty change.its quite common to see fat accumulation in liver cells causing enlargement in diabetes. Two Lobulated hypoechoic areas mentioned as complex cysts in liver .we call complex when there is septa / solid component within the cyst.usually lobulation very difficult to detect in that small size mm cysts.usually if only lobulation is there nothing to worry.in veiw of elderly age and comorbidity like diabetes further evaluation as you are planning Mri is advisable.
Thank you
Regards
Vasundhara
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Suggest Risk With Hepatocellular Disease With Complex Cyst

Hi I have seen your ultrasonogram report findings.liver meas 18 cm and increased echotexture means hepatomegaly with fatty change.its quite common to see fat accumulation in liver cells causing enlargement in diabetes. Two Lobulated hypoechoic areas mentioned as complex cysts in liver .we call complex when there is septa / solid component within the cyst.usually lobulation very difficult to detect in that small size mm cysts.usually if only lobulation is there nothing to worry.in veiw of elderly age and comorbidity like diabetes further evaluation as you are planning Mri is advisable. Thank you Regards Vasundhara