Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

185 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

How to validate ultrasound results?

Answered by
Dr.
Dr. Rahul Tawde

General & Family Physician

Practicing since :1980

Answered : 1 Question

default
Posted on Wed, 27 Aug 2014 in Liver and Gall Bladder
Question: I have a question due to receiving rather odd results from multiple sources. Today I received an ultrasound result which found 'mild coarse texture' to my liver - however I also got a Fibroscan which reported a '5' or 'no significant fibrosis'. Aren't these contradictory reports? Was there an error somewhere down the line, and what is more reliable?
doctor
Answered by Dr. Rahul Tawde 1 hour later
Brief Answer:
Kindly provide ultrasound&Fibroscan reports...

Detailed Answer:
Hi,

Can you please provide the full reports of your ultrasound and fibroscan, so I can explain specifically each of these reports?

From what you are describing, the findings of ultrasound and fibroscan are indicating the same thing: "mild changes in liver texture" (i.e. possible liver disease).

It is true that your Fibroscan is reporting "no significant fibrosis". To my impression, it means that fibrosis is present but it is at the early stages and won't cause any permanent changes to your liver.

However, the requested reports would give more lights on possible liver problems you might be experiencing.

As you are a young male, the most common cause might be drinking alcohol. If you stop drinking alcohol, and follow a healthy diet and lifestyle regimen, the changes to the liver will be subsided too.

Looking forward to have the requested reports in!
Dr.Sejdini
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Rahul Tawde 26 minutes later
The only finding on the ultrasound itself was "mild coarse texture" - however my Fibroscan 'stiffness' report was 5 - or F0-F1.

I have a possible iron overload disorder, and have drank my fair share of alcohol in the past four years. Hence my worries about my liver. I had elevated liver stuff in blood two months back - I have since stopped drinking alcohol completely and follow a strict vegan diet.

So I suppose my question is - are these reports truly conflicting and did one of them mess up, or can they be compatible? Can a liver appear 'mildly coarse' on an ultrasound and then somehow NOT have significant fibrosis?
doctor
Answered by Dr. Rahul Tawde 27 minutes later
Brief Answer:
Non conflicting results:they are compatible...

Detailed Answer:
Hi back,

Thank you for following up.

As you have a history of iron overload disorder (hemochromatosis) and have been drinking fair share of alcohol in the past, then, both of them are the causes to your actual liver problems.

Both ultrasound and fibroscan reports are not conflicting; they are COMPATIBLE.

They are shown in 2 different languages:
- ultrasound: mildly coarse
- fibroscan: f0-f1

The final words: your liver is mildly damaged by hemochromatosis and use of alcohol. You have identified earlier these damages due to high liver enzymes.

The actual lifestyle and diet changes together with vitamins supplementation (or other medications as prescribed by your doctor) will help reverse such changes and hopefully, bringing your liver back to its normal aspect and functioning.

You have to be very determinative as it might need some time and should not use alcohol for all your life long.

All the best!
Dr.Sejdini
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Medical Topics

Recent questions on  Hemochromatosis

doctor1 MD

I have a large dark area - like a bruise but not - on the top of my foot - about the size of the palm of your hand ending at the toes. Doesn t hurt. this has happened two times before. Once on the other foot. Neither time was the discoloration quite this dark and covering such a large area. Should I get it checked? The only medication I take is Doxasozin (sp?) and Metoprolol for HBP. I also take a low dose aspirin daily. I am 68 years old - active - good health - treated for Hemochromatosis.

doctor1 MD

I had routine bloodwork done and all tests came back normal except for a raised ferratin 575. When tested again 6 weeks later it came back at another high value 445. No other tests for inflammation were done. CBC with differential all normal. I'm...

doctor1 MD

So I have been having major middle back pain for about 18 months. I have had blood work done about 8 times including 3 times the past 3 months. Blood work includes multiple lft’s, iron, kidney function tests, ana, hemoglobin , tumor market test,...

doctor1 MD

Hello, I had some blood work done and I had my ferritin level come back at 533. My iron & tibc were both normal. Also I had all my liver function test done as well as I was tested for RA. I have a bad back and had a minor surgery 3 days before the...

doctor1 MD

Hello, I have hereditary hemochromatosis which has caused diabetes, osteoporosis and cirrhosis. I am recently experiencing hemorrhoidal pain every day for weeks and sometimes white colored areas in otherwise normal looking stool. I eat a lot of salt free dry roasted peanuts, could this be the cause? Thank you