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Leg got swollen suddenly, liver shows multiple isoechoic lesions with surrounding halo in both right and left lobes, renal cyst. Cure?

Hello Doctor. My Father-in-law's left and right leg got swollen suddenly for the last 4 days. We were asked to take Whole Abdomen report and Liver blood test. The Sonogram report mentioned that "The liver shows multiple isoechoic lesions with surrounding halo in both right and left lobes. S/O Metastases. Right cortical renal cyst".
The DGKC blood report had 482 U/L and Gamma GT Serum is 481 U/L. All other blood results are fine.

We are worried about the result outcome. Could you suggest what could be the actual problem ?
Asked On : Wed, 24 Apr 2013
Answers:  1 Views:  62
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General & Family Physician 's  Response
Hi and welcome to HCM!
Thanks for posting your query here.
Edema in both the lower limbs shows right heart or liver failure. The sonogram report is suggesting of metastases. Cancer cells from the other source of the body are invading the liver. They are spreading from the other part of the body where it is having cancer. So you should find out where the primary lesion is. The elevated levels of ALP-alkaline phosphatase and gamma glutamyl transferase shows a biliary or liver disease. These parameters are also elevated in alcoholic liver disease. But the finding of metastases is of concern. Right cortical renal cyst is a common finding in the elderly people. A cyst is a sac filled with fluid. It can be simple if it wont show pressure symptoms on the surrounding structures.
Your Father-in-law needs to be further evaluated for the primary lesion.
Hope this is helpful to you.
Answered: Wed, 24 Apr 2013
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