Question 1

ultrasound: 2.6cm isoechoic mass in right hepatic lobe.14mm hyperechoic nodule in right anterior lobe. what does it mean?

Accepted Answer

Further Tests: Could be anything from nothing to metastatic lesions. Further evaluation could include ct and needle biopsy. Is there any history of a prior cancer? Abnormal liver enzymes? Alcohol abuse? Hepatitis? All could have a bearing on your further work-up. Good luck.

Question 2

i have loss 56 pounds and i have had 2 pet scans that light up on the lgewon. i can't seam to gain the weight back. know the lymph has grown to 6 cm mass within the posterior right hepatic lobe is hypermetabolic, and concerning for metastatic disease?

Accepted Answer

: It is not feasible to provide a meaningful opinion without additional history, physical examination and may be some tests. It may require a biopsy of the mass in the liver. It would be prudent to see a doctor. Wish you good health!

Question 3

mri shows t2 hyperintensity in the right hepatic lobe measuring 2.1 cm.  hepatic ultrasound strongly advised.   is this a lesion, mass, malignant?

Accepted Answer

Get US: Get the ultrasound to further characterize the lesion. Likely benign but doppler ultrasound will further determine features that define etiology especially if solid or cystic, vascular (blood vessel) or not vascular if necessary a biopsy will provide definitive answer if it is not benign vascular lesion on us.

Question 4

2.1 cm lobulated t2 hyperintensity w/in posterior segment of rt hepatic lobe, hepatic ultrasound advised. is this a mass, lesion, malignant possibly?

Accepted Answer

Difficult to say: I would recommend the ultrasound, blood work (afp, CEA and ca 19-9) followed up by a possible biopsy vs a hemangioma workup..

Question 5

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 6

ill defined hypodense area on right hepatic lobe abutting capsule. found on a no contrast ct. need repeat ct w liver mass protocol. i'm scared.

Accepted Answer

Hemangioma: It will likely be a hemangioma, adenoma, or FNH at your age; all are benign.

Question 7

no contrast ct showed ill defined hypodense area on hepatic lobe. ordered new ct w contrast w liver mass protocol not hemangioma protocol concerning?

Accepted Answer

Get iv contrast CT: There are many reasons to have a liver mass, more often than not, they are benign, but clearly depending on past medical history,  It is difficult without contrast to differentiate these lesions, there are various ways to give intravenous contrast.  A hemangioma protocol is also known as a triphasic study, allows one to look at three phases of liver perfusion but more complex to do.

Question 8

i had an ultrasound done of the abdomen and they found an isoechoic lesion of the lateral left hepatic lobe,  it measured 4cm.  does isoechoic mean a solid mass? my ultrasound was done because i was experiencing lower back pain and bloating.

Accepted Answer

Isoechoic: is a descriptive term that means the lesion is similar in grayness/brightness to adjacent liver tissue.  It does imply a solid lesion, however.  Most of these incidental liver masses in your age group, assuming no history of cancer, turn out to be benign, usually hemangiomas.  You made need to have an additional test, usually CT or MRI, to show that it is a hemangioma vs something else

Question 9

what is an 8mm lesion left hepatic lobe?

Accepted Answer

Could be many things: It depends on how they described it.  The most common is a benign liver cyst.  The next most common are benign lesions such as hemangiomas.  If the liver has cirrhosis, this could represent a regenerative nodule.  Less likely causes are cancer.  You should discuss this with your doctor and determine what follow up is needed.

Question 10

what does heterogenous parenchymal echopattern with left hepatic lobe enlargement mean?

Accepted Answer

Several things: Heterogenous pattern of liver on ultrasound can mean liver disease such as cirrhosis, chronic hepatitis.Metatatic disease, lymphoproliferative diseasse, and fatth liver. Fatty liver usually has increased echogencity. Left lobe can enlarge to compensate for loss of liver function  as long this as normal appearance to its echogenicity. Blood tests, physical examination, history, biopsy help.

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Doctor answers about:

Right hepatic lobe mass

A member asked:

Ultrasound: 2.6cm isoechoic mass in right hepatic lobe.14mm hyperechoic nodule in right anterior lobe. what does it mean?

A member asked:

I have loss 56 pounds and i have had 2 pet scans that light up on the lgewon. i can't seam to gain the weight back. know the lymph has grown to 6 cm mass within the posterior right hepatic lobe is hypermetabolic, and concerning for metastatic disease?

A member asked:

Mri shows t2 hyperintensity in the right hepatic lobe measuring 2.1 cm. hepatic ultrasound strongly advised. is this a lesion, mass, malignant?

A member asked:

2.1 cm lobulated t2 hyperintensity w/in posterior segment of rt hepatic lobe, hepatic ultrasound advised. is this a mass, lesion, malignant possibly?

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:

Ill defined hypodense area on right hepatic lobe abutting capsule. found on a no contrast ct. need repeat ct w liver mass protocol. i'm scared.

A member asked:

No contrast ct showed ill defined hypodense area on hepatic lobe. ordered new ct w contrast w liver mass protocol not hemangioma protocol concerning?

A member asked:

I had an ultrasound done of the abdomen and they found an isoechoic lesion of the lateral left hepatic lobe, it measured 4cm. does isoechoic mean a solid mass? my ultrasound was done because i was experiencing lower back pain and bloating.

A member asked:

What is an 8mm lesion left hepatic lobe?

A member asked:

What does heterogenous parenchymal echopattern with left hepatic lobe enlargement mean?

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