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Mild Hepatomegaly With Grade 1 Fatty Changes And Focal Hyperechoic Lesion In Segment IV A. Concerned

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Posted on Mon, 6 Aug 2012
Question: Mild Hepatomegaly with grade 1 fatty changes and focal hyperechoic lesion in segment IVa
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Answered by Dr. Sudhir (15 minutes later)
Hello,

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.

Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir

Internal Medicine Specialist

Practicing since :2000

Answered : 1415 Questions

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Mild Hepatomegaly With Grade 1 Fatty Changes And Focal Hyperechoic Lesion In Segment IV A. Concerned

Hello,

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.

Regards.