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What causes a enlarged liver in an ultrasound test report?

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Posted on Thu, 12 May 2016
Question: In ultrasound what is the possible cause of "'Liver is enlarged in size (span~18.2). There is evidence of multiple large lessions size hypoechoic mass lessions are noted in liver parenchyma and the lessions shows mild central vascularity on cool Doppler with largest size 94x65 mm, finding suggest possibility of metastasis from unknown primary/primary liver malignancy with metastasis. Margins are well defined & regular. Hepatic & portal veins are normal. IHBRS are normal"
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Answered by Dr. V. N. S. Parinam (11 minutes later)
Brief Answer:
Scan report is not final

Detailed Answer:
Hello XXXXXXX

This is just an impression on the Ultrasound scan of the liver.
The liver is increased in its size and has large span in the upper abdomen. THere are large masses many in number inside the liver.
Unfortunately it also says the liver has tumor like growths. It may be within the liver or a spread tumor from somewhere else. In plain words it represents cancer. It has to be investigated further as nothing is final till a biopsy report is there. I suggest you to immediately meet an Oncologist, Hepatologist and take necessary measures for treatment.

Let me know if I can be of further help to you.



Above answer was peer-reviewed by : Dr. Deepak
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Follow up: Dr. V. N. S. Parinam (46 hours later)
Uploaded new CT Scan report, please guide us for next action and possible finding
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Answered by Dr. V. N. S. Parinam (47 minutes later)
Brief Answer:
Tumor

Detailed Answer:
Hi,
There are no extra details in the CT scan. It confirms tumor but says to get a biopsy done to know the type of the tumor.
You should get a guided biopsy of the tumor. Once the pathologist gives his report wht kind of tumor is it, then the staging is done for the tumor. The treatment can be planeed as well according to the histology of the tumor.
Please do not waste time get the things moving quickly.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. V. N. S. Parinam

General & Family Physician

Practicing since :2008

Answered : 1731 Questions

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What causes a enlarged liver in an ultrasound test report?

Brief Answer: Scan report is not final Detailed Answer: Hello XXXXXXX This is just an impression on the Ultrasound scan of the liver. The liver is increased in its size and has large span in the upper abdomen. THere are large masses many in number inside the liver. Unfortunately it also says the liver has tumor like growths. It may be within the liver or a spread tumor from somewhere else. In plain words it represents cancer. It has to be investigated further as nothing is final till a biopsy report is there. I suggest you to immediately meet an Oncologist, Hepatologist and take necessary measures for treatment. Let me know if I can be of further help to you.