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What Does My Lab Test Report Indicate?
Question: hi
i had an us done and the impression says Fatty Infiltration no focal lesion, should i be worry about metastasis, i just had left nephrectomy done las Feb 2016,
i also have generalized itching, what is the next step for me
i had an us done and the impression says Fatty Infiltration no focal lesion, should i be worry about metastasis, i just had left nephrectomy done las Feb 2016,
i also have generalized itching, what is the next step for me
Brief Answer:
metastasis occurs with cancer, no cancer mentioned
Detailed Answer:
HI, thanks for using healthcare magic
Metastasis refers to the spread of cancer from one part of the body to the next either through direct spread (organs in contact with each other), through the blood vessels or through the lymph nodes.
Cancer is not mentioned in the report.
According to what is said above, there is evidence of fat build up in the liver (fat is infiltrating/getting into different parts of the liver).
This is not related to cancer but can cause different problems
If the fat build up continues, it can cause the liver to become inflamed.
This can go onto liver damage and in some cases cirrhosis/scarring of the liver so that it cannot work well.
Liver disease can cause itching though other causes should be ruled out like allergies, infection (Eg scabies, fungal ), kidney disease, thyroid disease,
It would be best to treat the fatty changes seen. Fatty liver can be due to alcohol use or inappropriate diet/lack of activity.
If due to alcohol would be best to decrease
If due to diet/lack of activity- would need to alter diet to increase fruits and vegetables, decrease sodas/artificial juices, decrease unhealthy carbs (turned into fat and stored)
NEXT steps: (a) make sure liver is only possible cause for itching, may need to see dermatologist or your GP if dermatologist not available
(b)need to alter diet/activity or decrease alcohol use if this is an issue
I hope this helps, feel free to ask any other questions
metastasis occurs with cancer, no cancer mentioned
Detailed Answer:
HI, thanks for using healthcare magic
Metastasis refers to the spread of cancer from one part of the body to the next either through direct spread (organs in contact with each other), through the blood vessels or through the lymph nodes.
Cancer is not mentioned in the report.
According to what is said above, there is evidence of fat build up in the liver (fat is infiltrating/getting into different parts of the liver).
This is not related to cancer but can cause different problems
If the fat build up continues, it can cause the liver to become inflamed.
This can go onto liver damage and in some cases cirrhosis/scarring of the liver so that it cannot work well.
Liver disease can cause itching though other causes should be ruled out like allergies, infection (Eg scabies, fungal ), kidney disease, thyroid disease,
It would be best to treat the fatty changes seen. Fatty liver can be due to alcohol use or inappropriate diet/lack of activity.
If due to alcohol would be best to decrease
If due to diet/lack of activity- would need to alter diet to increase fruits and vegetables, decrease sodas/artificial juices, decrease unhealthy carbs (turned into fat and stored)
NEXT steps: (a) make sure liver is only possible cause for itching, may need to see dermatologist or your GP if dermatologist not available
(b)need to alter diet/activity or decrease alcohol use if this is an issue
I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you
Do you have any comment on the other impression related to the rigth kidney?
I had a renal US done on May 18 and it was clear (no focal masses) how come in 2 weeks they see a nodule or somethinf?
So definetely not metastasis from Renal Cancer (which i had), how accurate is the US ? If it was mets the US would have detected correct?
Can you please explain me the meaning of no focal lesion? Means no tumors and no mets?
No more imaging necessary to rule out
anything?
I jist had blood work for the tyroid and it was normal also blood work for kidney was ok (creatinine and gfr within range)
How do i check my metabolism to make sure is not the reason of the fatty liver
Thanks
Do you have any comment on the other impression related to the rigth kidney?
I had a renal US done on May 18 and it was clear (no focal masses) how come in 2 weeks they see a nodule or somethinf?
So definetely not metastasis from Renal Cancer (which i had), how accurate is the US ? If it was mets the US would have detected correct?
Can you please explain me the meaning of no focal lesion? Means no tumors and no mets?
No more imaging necessary to rule out
anything?
I jist had blood work for the tyroid and it was normal also blood work for kidney was ok (creatinine and gfr within range)
How do i check my metabolism to make sure is not the reason of the fatty liver
Thanks
Brief Answer:
no focal lesion- no specific mass or lesion seen
Detailed Answer:
HI
In terms of the kidney they state that there is an abnormal area (said hypoechogenecity) that is likely the scarring and cyst seen on a previous MRI but with the ultrasound would not be able to see as clearly
This means that on a previous MRI, they noted these changes but they cannot see it as clearly on the ultrasound (MRI shows things better than ultrasound)
Scarring (like scar tissue formed after a fall or injury) is noted at the cortical aspect (top of the kidney)
This may be due to previous infections or trauma.
A cyst is also seen , cysts are not abnormal in the kidney and in most cases cause no problem
NO focal lesion means no specific mass , no single mass/lesion seen. No mets mentioned according to this result.
This means that there is not likely to be any cancer since this would cause a mass to be seen.
Metabolism would not usually affect the liver but you can do liver function blood tests to see if the liver is working well.
This would be ast, alt, alkaline phosphatase, bilirubin, ggt, proteins
Please feel free to ask anything else
no focal lesion- no specific mass or lesion seen
Detailed Answer:
HI
In terms of the kidney they state that there is an abnormal area (said hypoechogenecity) that is likely the scarring and cyst seen on a previous MRI but with the ultrasound would not be able to see as clearly
This means that on a previous MRI, they noted these changes but they cannot see it as clearly on the ultrasound (MRI shows things better than ultrasound)
Scarring (like scar tissue formed after a fall or injury) is noted at the cortical aspect (top of the kidney)
This may be due to previous infections or trauma.
A cyst is also seen , cysts are not abnormal in the kidney and in most cases cause no problem
NO focal lesion means no specific mass , no single mass/lesion seen. No mets mentioned according to this result.
This means that there is not likely to be any cancer since this would cause a mass to be seen.
Metabolism would not usually affect the liver but you can do liver function blood tests to see if the liver is working well.
This would be ast, alt, alkaline phosphatase, bilirubin, ggt, proteins
Please feel free to ask anything else
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
One more concern, how accurate is the US to diagnose Fatty Infiltration and what is the likelihood to confuse Metastasis by Fatty Infiltration
thank you
thank you
Brief Answer:
appearance would vary
Detailed Answer:
HI
Sorry about the delayed reply
Ultrasound of the abdomen is the most common way used to diagnose fatty liver at the moment.
The appearance of fat and cancer lesions would be different on imaging. Mets would likely have a nodular appearance (distinct lesions seen)
Fat would have an irregular appearance, irregular borders
Ultrasound technicians would be able to distinguish the two.
If anything else unclear, can let me know
appearance would vary
Detailed Answer:
HI
Sorry about the delayed reply
Ultrasound of the abdomen is the most common way used to diagnose fatty liver at the moment.
The appearance of fat and cancer lesions would be different on imaging. Mets would likely have a nodular appearance (distinct lesions seen)
Fat would have an irregular appearance, irregular borders
Ultrasound technicians would be able to distinguish the two.
If anything else unclear, can let me know
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your answer, can you please take a look at my latest blood work, please pay special attention to liver and kidney function,
Are there any other blood work test that I can do for the liver?, I don't understand why it went from normal on my US on April 8 2016 to fatty infiltration on XXXXXXX 3 2016. - Do you think that is possible in such as short period of time?
Chemistry Profiles
Sodium Lvl
144 mmol/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:137 mmol/L - 145 mmol/L
Potassium Lvl
4.1 mmol/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:3.5 mmol/L - 5.1 mmol/L
Chloride Lvl
104 mmol/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:98 mmol/L - 107 mmol/L
CO2 Lvl
28 mmol/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:22 mmol/L - 30 mmol/L
Glucose Lvl
98 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:74 mg/dL - 106 mg/dL
BUN Lvl
17 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:7 mg/dL - 20 mg/dL
Creatinine Lvl
1.19 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:0.70 mg/dL - 1.50 mg/dL
BUN/Creatinine Ratio
14.3 Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:8.0 - 36.0
GFR Non Afr Amer by MDRD
67 mL/min/1.73m2 Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:> 59 mL/min/1.73m2
GFR XXXXXXX Amer by MDRD
67 mL/min/1.73m2 Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:> 59 mL/min/1.73m2
Calcium Lvl
9.3 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:8.4 mg/dL - 10.2 mg/dL
Total Protein Lvl
7.0 g/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:6.3 g/dL - 8.2 g/dL
Albumin Lvl
4.1 g/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:3.5 g/dL - 5.0 g/dL
Globulin Lvl
2.9 g/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:2.2 g/dL - 3.9 g/dL
A/G Ratio
1.4 Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:0.9 - 2.3
Bilirubin Total
0.4 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:0.2 mg/dL - 1.3 mg/dL
Alk Phos
54 units/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:38 units/L - 126 units/L
ALT
17 units/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:13 units/L - 69 units/L
AST
18 units/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:15 units/L - 46 units/L
Are there any other blood work test that I can do for the liver?, I don't understand why it went from normal on my US on April 8 2016 to fatty infiltration on XXXXXXX 3 2016. - Do you think that is possible in such as short period of time?
Chemistry Profiles
Sodium Lvl
144 mmol/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:137 mmol/L - 145 mmol/L
Potassium Lvl
4.1 mmol/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:3.5 mmol/L - 5.1 mmol/L
Chloride Lvl
104 mmol/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:98 mmol/L - 107 mmol/L
CO2 Lvl
28 mmol/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:22 mmol/L - 30 mmol/L
Glucose Lvl
98 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:74 mg/dL - 106 mg/dL
BUN Lvl
17 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:7 mg/dL - 20 mg/dL
Creatinine Lvl
1.19 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:0.70 mg/dL - 1.50 mg/dL
BUN/Creatinine Ratio
14.3 Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:8.0 - 36.0
GFR Non Afr Amer by MDRD
67 mL/min/1.73m2 Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:> 59 mL/min/1.73m2
GFR XXXXXXX Amer by MDRD
67 mL/min/1.73m2 Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:> 59 mL/min/1.73m2
Calcium Lvl
9.3 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:8.4 mg/dL - 10.2 mg/dL
Total Protein Lvl
7.0 g/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:6.3 g/dL - 8.2 g/dL
Albumin Lvl
4.1 g/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:3.5 g/dL - 5.0 g/dL
Globulin Lvl
2.9 g/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:2.2 g/dL - 3.9 g/dL
A/G Ratio
1.4 Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:0.9 - 2.3
Bilirubin Total
0.4 mg/dL Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:0.2 mg/dL - 1.3 mg/dL
Alk Phos
54 units/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:38 units/L - 126 units/L
ALT
17 units/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:13 units/L - 69 units/L
AST
18 units/L Date:Jun 02, 2016 02:51 p.m. EDT Reference Range:15 units/L - 46 units/L
my concern is because the US is showing fatty infiltration but most or all of the blood work parameters are within range.
Brief Answer:
means has not affected liver function as yet, this is good
Detailed Answer:
HI
As you mentioned , all of the above results are within normal range this means that though there is fatty infiltration, it is not yet affecting the function of the liver which is good.
Diet changes and exercise would then help to prevent progression to the point where liver function is affected
means has not affected liver function as yet, this is good
Detailed Answer:
HI
As you mentioned , all of the above results are within normal range this means that though there is fatty infiltration, it is not yet affecting the function of the liver which is good.
Diet changes and exercise would then help to prevent progression to the point where liver function is affected
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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