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    What does this ultrasound report indicate?

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Posted on Fri, 8 Sep 2017 in Liver and Gall Bladder
Question: HI, I forgot to ask the question, sorry!
I had my yearly physical checkup in May, 2017. Full blood work and urinalysis came back normal except for a low eGFR. I had a follow up ultrasound for a polyp on my gall bladder. HOWEVER, additional findings on my full abdominal u/s: PLEASE EXPLAIN WHAT THIS REPORT MEANS!
"3 hyperechoic foci are identified within the liver. One was in segment 6 measuring 2.5x1.4x2.1 cm (last year 2x1x1.8 cm), stable in size, however its sonographic characteristics have changed, as it is diffusely hyperechoic today, demonstrating hypoechogenicity 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 polyp measuring 5 mm. Pancreatic tail not well-visualized, however the remainder is normal. Spleen and left kidney normal. Right kidney demonstrates a 5mm cortial cyst.

Impression:Dominant hyperechoic lesion within the liver is overall stable in size however its sonographic characteristics have changes, as described.
Two new hepatic lesions identified.
Given the aforementioned findings, multiphasic MR of liver recommended for further characterization."
doctor
Answered by Dr. Klerida Shehu 3 hours later
Brief Answer:
Please follow...

Detailed Answer:
Hi and thabk your for asking.

I read carefully all your concerns and I can say as follows:
1. I need to know if you have any symptoms recently?
2. You need to be evaluated with abdominal.MRI to better evaluate the natyre of liver lessions.
3. Your liver lesions may be related with :
- liver cysts
- liver metastases( rarely hiperechoic on ultrasound)
- hemangioma
4. This is why I stringly suggest to do liver MRI to get a more accurate opinion.
Dr.Klerida
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Klerida Shehu 6 hours later
Hi,
The only symptom is some upper stomach pain from time to time (infrequent). A month ago it was very painful for 20-30 seconds, but nothing like that since then.
Liver enzymes were within normal limits on my yearly physical blood work 3 months ago.

1. How can a lesion change from hypoechoic to diffusely hyperechoic on u/s
2. what does "sonographic characteristics have changes mean?"
doctor
Answered by Dr. Klerida Shehu 22 hours later
Brief Answer:
Please follow...

Detailed Answer:
Hi back,

You are reporting that your liver lesions have been changed from hypoechoic to hyperechoic for three months.

This finding may be associated with increased size of liver lesions or necrosis.
Otherwise, it is really important the fact that 2 other lesions are identified recently.
This is why you should do MRI of the abdomen.

The phrase" sonographic characteristics have been changed " means that hypoechoic lesion is now a hyper echoic lesion.

These are the sonographic characteristics of a lesion.

Hope it was helpful to you.
Dr.Klerida


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2265 Questions

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