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Mild hepatomegaly with grade 1 fatty changes and focal hyperechoic lesion in segment IV a. Concerned

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Mild Hepatomegaly with grade 1 fatty changes and focal hyperechoic lesion in segment IVa
Posted Sun, 5 Aug 2012 in Liver and Gall Bladder
Answered by Dr. Sudhir 15 minutes later

Mild hepatomegaly with fatty liver should not be cause of concern as these changes are reversible and found in multiple conditions. Commonest cause is drinking alcohol and leading sedantary life.

Commonest cause of liver focal hyperechoic lesion is a benign hemangioma. It’s so common that other possibilities are considered only when possibility of hemangioma is ruled. Hemangioma has characteristic appearance on CT scan. So this lesion can be investigated further by CT scan.

Other causes of hyperechoic lesion are tumors or spread of tumor that is metastasis. Even CT scan can prove helpful to confirm or rule out these possibilities.

So you can consider to get investigated with CT scan or consider a follow up sonography after few months to see interval change in the lesion.

Hope this answers your question.

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