Question 1

what is the meaning of this sonographic report: liver is enlarged with increased parenchymal echogenicity. there is an irregular, thick-walled heterogeneous mass in the right hepatic lobe, likely segment vii/viii measuring approximately 5.5 x 5 x 5?

Accepted Answer

: The U/S report of a mass that large requires a CT or MRI to determine if the mass is vascular or potentially malignant. Vascular abnormalities do not always require surgical solutions. See your physician for further testing.

Question 2

liver enlarged & echogenic consistent with nonspecific hepatic parenchymal disease such as steatosis. no focal mass is seen.spleen size 16cm??

Accepted Answer

See doctor: The size of the spleen is of note.  This enlarges for many reasons.  The liver also enlarged is of concern as well.  There should be a coordinated laboratory values to help make sense of imaging results. Not a good idea to speculate on cause without more data. Speak to your doctor for more data

Question 3

my recent us report read mildy echogenic and coarsened echotexture no focal mass. does that mean cirrhosis now or just fatty liver? ultra sound impression read: mildly ecohgenicity of the liver may signify fatty infiltration's or early hepatic parenchymal

Accepted Answer

Consult on results: The doctor who ordered the tests needs to explain the results - it's part of the procedure. Get an explanation you can understand and remember - perhaps written info on what to do and expect. Bring someone you trust along to help in case you feel too confused by this. Best!

Question 4

what is the meaning of parenchymal echogenicity is increased?

Accepted Answer

Descriptive term: Not specific to any one thing.
Parenchyma is just the main part of an organ or tissue.
Echogenicity refers to how many echoes are produced by a tissue.

It just means more than expected echoes form whatever is being examined. I can't take this any farther without more information.

Question 5

what does increased hepatic echogenicity mean on a ultrasound?

Accepted Answer

Fatty infiltration: Most commonly it means there is increased fat in the liver.  This can be a result of increased body fat or may be associated with certain medications.  Increased fat can also be seen in diabetics or in patients with cirrhosis.

Question 6

diffuse increased echogenicity and coarsening of hepatic echotexture?

Accepted Answer

Non-Specific: These are not normal findings but they are non-specific. That is they do not give a "Diagnosis"  Do you have  an alcohol problem?? Have you ever had Hepatitis??? Are you on any Medications??  More info with a question may help.  Hope this helps.

Dr Z

Question 7

increased echogenicity in the hepatic parenchyma is consistent with fatty change?

Accepted Answer

Yes: That is the most common cause of increased hepatic echogenecity.

Question 8

what does 'in homogeneous increased hepatic echogenicity seen w/ fatty infiltration as well as hepatocellular disease' mean about my liver?

Accepted Answer

Ask your doctor: Doctor who ordered the test should answer your questions. Other tests and past/present medical conditions affect the answer. You are at risk to develop cirrhosis of the liver. Your current condition may be reversible. Cirrhosis is not. In America, 2 most common causes is food and drink. If food and drink is not the primary cause, it does influence whether you live or die. Better diet helps a lot.

Question 9

alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. nafld or nash?

Accepted Answer

Your presumption: Could be right. Get checked for alcohol induced , viral or autoimmune hepatitis. Avoid taking tylenol, (acetaminophen) drinking alcohol. Take care!        http://www.mayoclinic.com/health/elevated-liver-enzymes/my00508.        http://www.herbalprovider.com/liver-enzymes.html.

Question 10

is liver showing diffuse increased parenchymal echogenicity with 2 small calcific foci in right lobe measuring about 2.5mm each is something to worry?

Accepted Answer

Concern: This question is best answered by a gastroenterologist or hepatologist(liver specialist). I would be concerned about chronic liver inflammation or fatty infiltration. I assume that you have been instructed to abstain from alcohol. A liver biopsy may be indicated for diagnosis.

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Doctor answers about:

Increased hepatic parenchymal echogenicity

A member asked:

What is the meaning of this sonographic report: liver is enlarged with increased parenchymal echogenicity. there is an irregular, thick-walled heterogeneous mass in the right hepatic lobe, likely segment vii/viii measuring approximately 5.5 x 5 x 5?

A member asked:

Liver enlarged & echogenic consistent with nonspecific hepatic parenchymal disease such as steatosis. no focal mass is seen.spleen size 16cm??

A member asked:

My recent us report read mildy echogenic and coarsened echotexture no focal mass. does that mean cirrhosis now or just fatty liver? ultra sound impression read: mildly ecohgenicity of the liver may signify fatty infiltration's or early hepatic parenchymal

A member asked:

What is the meaning of parenchymal echogenicity is increased?

A member asked:

What does increased hepatic echogenicity mean on a ultrasound?

A member asked:

Diffuse increased echogenicity and coarsening of hepatic echotexture?

A member asked:

Increased echogenicity in the hepatic parenchyma is consistent with fatty change?

A member asked:

What does 'in homogeneous increased hepatic echogenicity seen w/ fatty infiltration as well as hepatocellular disease' mean about my liver?

A member asked:

Alt elevated (76, 63) after 2 blood tests and increased parenchymal echogenicity on us. nafld or nash?

A member asked:

Is liver showing diffuse increased parenchymal echogenicity with 2 small calcific foci in right lobe measuring about 2.5mm each is something to worry?

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