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What is the meaning of Cirrhotic liver with bi-lobar infiltrative lesions likely hypovascular multi centric?

Dear Sirs; What Is The Below Siimply Means And Please Is There Any Hope For Recovery Best Regards CT SCAN OF THE ABDOMEN WITH TRIPHASIC LIVER STUDY :. • The liver appears enlarged in size showing cirrhotic configuration manifested by irregular wavy outlines , enlarged left lobes with widened intralobar fissures. • Both hepatic lobes are the seat of multiple conflent irregular hypodense infiltrative leisons showing faintly heterogeneous enhancement at the arterial phase with relative washout at the delayed phase , bening hypodense and more distinct to the surrounding hepatic parenchyma. • The left main portal vein is totally thrombosed appear dilated with faint heterogeneous enhancement at the arterial phase relative wardout at the delayed phase . • The portal vein and the right main branch appear patent . • Bulky spleen with no focalleisons . Multiple porto-systemic collaterals are seen at the lieno­ renal region. • Mild ascites . A small nodular density lesion is noted at the right hypochondria! region. • Normal CT appearance of the pancreas , well functioning both kidneys , supra renals glands, IVC and aorta . • Mild enlarged aorto-cavallymph node is noted . • Clear scanned lung bases , apart from bilateral air trapping areas. CONCLUSION:- • Cirrhotic liver with bi-lobar infiltrative lesions likely hypovascular multi centric I-ICC with left portal tumoral venous thrombosis . For further AFP correlation. • Bulky spleen . • Mild ascites with small right pritoneal nodule at the right hypocondrial region. MUCH OBLIGED
Asked On : Sat, 29 Sep 2012
Answers:  1 Views:  107
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Nephrologist 's  Response
Thanks for the query.
From the description of the report; following three problems are identified:
1) Liver cirrhosis which means advanced disease of the liver which can be due to various reasons.
2) HCC is cancer of the liver which is often seen as a complication of cirrhosis
3) Portal vein thrombosis which means clots and obstruction in the veins draining the liver.
You need to see a hepatologist/ oncologist ASAP. They can assess the patient and advice about further treatment and prognosis
Hope this helps
good luck
Answered: Mon, 12 Aug 2013
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