What does my MRI scan report indicate?

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Posted on Tue, 3 Oct 2017 in X-ray, Lab tests and Scans
Question: Hi,
Can you please explain what the following MRI report means (and ultrasounds) re: my liver and gallbladder (t2 hyperintensive progressive nodular enhancing hepatic lesions)?
What does "most in keeping... mean? Could it be something else?
Why am I getting these on my liver? How can I prevent these and can these lead to complications/issues later in life?
MRI Aug 2017: MRI Abdomen using multiplanar multisequence images with and without contrast. Clinical History: hyperechoic lesions on u/s. Comparisons: August 2017 u/s and 205 CT scan.
Findings: There are 2 hyperintense T2 progressive nodular enhancing hepatic lesions measuring up to 1.3 and 2.1 cm within the right lobe, most in keeping with hemangiomas. No additional hepatic lesions are identified.
Spleen, pancreas, adrenal glands and kidneys are normal.
There is a small cystic focus at the gallbladder fundus measuring 6mm, presumed adenomyomatosis. Gallbladder and biliary tract otherwise normally distended.
Interpretation: Liver hemangiomas. Presumed small focus of adenomyomatosis at gallbladder fundus.

Ultrasound Aug 2017: Comparison to July 2016 u/s. Findings: 3 hyperechoic foci are identified within the liver. One in segment 6 measuring 2.5x1.4.2.1 cm, stable in size since previous, however its sonographic characteristics have changed, as it is diffusely hyperechoic today, demonstrating central hyperechogenicity previously. Two new lesions are identified, one within segment 7, measuring 1.4x1.5x1.4 cm and one within segment 4A measuring 7x5x4 mm. Stable gallbladder with 5mm polyp. Pancreas/spleen/left kidney are normal. Right kidney demonstrates 5mm cortical cyst.

Impression: Dominant hyperechoic lesion within liver is overall stable in size, however its sonographic characteristics have changes, as described above. Two new hepatic lesions identified. Given findings, further assessment recommended for further characterization.

PREVIOUS ultrasound reports:
July 2016 - Liver demonstrates hyperechoic nodule with more echogenic periphery in lateral aspect of right lobe measuring 2.1x1.4x2.0 cm, previously 2.0x1.8x1.7 cm and 2.1x1.5.1.9 cm. Gallbladder demonstrates 5mm probable fundal polyp. No bilary tree dilation. Pancreas, spleen, kidneys, abdominal aorta within normal limits. No significant free fluid. Opinion: Hepatic nodule not significantly changed since previous examinations. Long term stability should be demonstrated. 5 mm gallbladder polyp.

Feb 2016 - Slightly echogenic mass in right lobe of liver 2.0x1.8x1.7 cm and is stable from August 2015. Incidental adenomyomatosis is suspected in fundus of gallbladder. All other organs normal.

Aug 2015 - Right lobe of liver 2.1x1.5x1.9 cm well defined slightly hyperechoic mass consistent with hemangioma. No other liver lesions seen. Mild irregularity of gallbladder wall at fundus with questionable 6mm polyp. All other organs normal. Liver lesion seen on recent CT has appearance of hemangioma.

Aug 2013 "No abnormalities seen in pancreas/spleen/kidneys/abdominal aorta. Liver is of uniform echogenicity and bile ducts are not dilated. Gallbladder has normal thickness, free of calculi
doctor
Answered by Dr. Vivek Chail 6 hours later
Brief Answer:
There are benign lesions in liver and gall bladder

Detailed Answer:
Hi,
Thanks for writing in to us.

Your MRI scan report shows that there are at least 2 lesions in the liver which are of the size mentioned and are thought to be hemangiomas.

Hemangiomas are benign lesions and they have a clump of vessels which show a characteristic pattern on CT scan and MRI scan. This particular behaviour is called progressive enhancement on contrast CT scan and MRI scan. It means the blood vessels in the lesions fill up from the periphery to the centre and when this is visualised then it is most likely a hemangioma.

The other comment in the MRI report is the assumption of a small area within the gall bladder likely representing a gall bladder adenomyosis and this is also a benign cause of focal gall bladder wall thickening.

Please write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Vivek Chail 16 hours later
Why do I get these? Do I have a higher risk for cancer?: What is T2 progressive?
doctor
Answered by Dr. Vivek Chail 6 hours later
Brief Answer:
It is not a risk for cancer

Detailed Answer:
Hi,
Thanks for writing back with an update.

The cause of hemangiomas is still under research. Hemangiomas are harmless lumps of blood vessels and this is comparable to the birth marks visible on the skin but in case of liver hemangiomas, the blood vessels form clumps within the liver.

This is a completely safe condition as far cancer is concerned to the best of my knowledge.

The lesion is hyperintense on T2 and shows progressive nodular enhancement on contrast. The term progressive nodular enhancement is what I described as peripheral to central slow filling up of contrast in my previous reply. This is a characteristic of hemangiomas on MRI scans. The term T2 progressive is non existent.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6699 Questions

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