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History of hepatitis C. Ultrasound showed heterogeneous liver, splenomegaly and dilated splenoportal axis. Any complication?

Hi, The USG of my abdomen shows Heterogenous liver, Splenomegaly ,Dilated Splenoportal axis,Ascites- I am 60 yrs old and have history of hepatitis C . could you please suggest what might be the severity of my liver desease? Is it in advanced stage? Report says:Liver normal size-Hepatic echotexture is heterogenous with irregular outline-No focal area of altered echogenicity seen-intrahepatic tubular structure normal-porta hepatis normal-portal vein is dilated and measures 16.3 mms
Asked On : Thu, 7 Feb 2013
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General & Family Physician 's  Response
After 20 to 30 years of hepatitis C infection, cirrhosis ( scarring of the liver tissue ) may occur. 
Your ultrasound report of heterogenous parenchyma is suggesting that you have developed cirrohsis of liver along with dilatation of portal vein.
Scarring in your liver makes it difficult for your liver to function.
A small number of people with hepatitis C infection may develop liver cancer.

Ascites is a major complication of cirrhosis.
The development of ascites is an important landmark in the natural history of cirrhosis as it is associated with a 50% mortality over two years,and signifies the need to consider liver transplantation as a therapeutic option.
You must consult a gastroenterologist surgeon and prepare for liver transplant.
Answered: Thu, 7 Feb 2013
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