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Doctor insights on: Are Liver Lesions Painful

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What exactly are liver lesions?

What exactly are liver lesions?

Masses: Liver lesion is another way to describe a mass in the liver. There are many different types of masses and they can be benign or malignant. Cyst can sometimes be referred to as lesions. Most of the time a mix of differnent types of x-ray tests and possibly a biopsy can figure out what it is. ...Read more

Dr. Corey Clay
2 doctors shared insights

Liver (Definition)

This organ plays a major role in metabolism and has a number of functions in the body, including glycogen storage, decomposition of red blood cells, plasma protein synthesis, hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic region of the abdomen. It produces bile, an alkaline compound which aids in digestion via the emulsification of ...Read more


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How commonly are liver lesions benign?

How commonly are liver lesions benign?

It depends: Benign liver lesions are found in routine imaging studies in more than 50% of adults. Even in adults with cancer, only 10% of liver lesions are cancerous. The characteristics of the lesion on the imaging study, the type of imaging study, and the size and number of lesions all play a part in determining the chance a lesion is benign. Radiologists are trained to decide when more tests are needed. ...Read more

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Please explain what are some symptoms if any of liver lesions and hemaginomas?

Please explain what are some symptoms if any of liver lesions and hemaginomas?

Not a problem: Liver hemangiomas don't cause trouble. They're Gorbachev birthmarks of the organ and you're free to ignore them. ...Read more

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What causes hypodense liver lesions?

What causes hypodense liver lesions?

On a CT scan?: The differential diagnosis for hypodense lesions on a ct scan of the liver is quite expensive. This would include everything from benign lesions such as hemangioma, liver cyst and benign tumors to liver cancer and metastasis. ...Read more

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What are hypodense subcapsular metastic liver lesions ?

What are hypodense subcapsular metastic liver lesions ?

Liver lesions: This a serious problem. If this is regarding you then get to your physician asap. If this is regarding someone else get them to thier doctor. This means that a primary cancer somewhere else in the body has spread to the liver. Please seek attention. ...Read more

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Are liver lesions related to back pain?

Are liver lesions related to back pain?

Can cause back pain: If a liver legion is large enough, it can certainly cause back pain. In fact, any irritation to the liver at all can cause back pain either with direct pressure or by referred pain. We can't differentiate how our insides feel very well and sometimes internal pain will present itself as referred pain and this is common with liver issues. Hope this answer helps! ...Read more

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Is it common to biopsy hypoechoic liver lesions?

Is it common to biopsy hypoechoic liver lesions?

Yes: From the way it looks on ct scan it can be concerning for cancer therefore a biopy is need to determine if cancer is present. ...Read more

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Are liver lesions dangerous by themselves, and how would they affect someone with cirrhosis?

Are liver lesions dangerous by themselves, and how would they affect someone with cirrhosis?

What is a "lesion": A lesion is a non-specific and meaningless term meaning there is "something" seen in the liver that shouldn't be there. It can be very serious, or can mean little or nothing. Depends on what the lesion is - a benign tumor, a cancer, an infection, tuberculosis, a cirrhotic nodule - all are lesions. At 26, i hope you aren't speaking of yourself. Lesions need a biopsy or some specific diagnosis. ...Read more

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Getting nauseated where I have to eat to feel better could liver lesions I have be a cause of this? If not any idea onwhat else could be causing this

Getting nauseated where I have to eat to feel better could liver lesions I have be a cause of this? If not any idea onwhat else could be causing this

Avoiding fatty foods: Many reasons cause nausea. It is not always from the GI tract. Pregnancy, neurology, ENT infection etc.
Eating small meals, avoiding fatty, spicy foods, alcohol. If not improved, need to see your primary care physicians.
Blood tests and ultrasound of the abdomen can be done to examine the liver. It is rare that liver would cause nausea alone. ...Read more

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What is difference between echogenic and hypoechogenic liver lesions seen in ultrasound?

What is difference between echogenic and hypoechogenic liver lesions seen in ultrasound?

Those are: descriptive terms related to the appearance on ultrasound. "Echogenic" means it looks brighter than normal liver(because it reflects more of the US echoes), hypoechogenic means it looks darker. The terms are strictly descriptive, they don't necessarily imply any specific etiology of the lesions. ...Read more

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What are most common symptoms of early colorectal liver metastasis?If small liver lesions are clm, how fast do they grow big enough to be chacterized?

What are most common symptoms of early colorectal liver metastasis?If small liver lesions are clm, how fast do they grow big enough to be chacterized?

No symptoms: Early liver metastases have no specific symptoms .

Rate of growth of clm is variable , particularly if in the process of traetment. Pet/ct is most sensitive way to stage colorectal malignancy , determine if there are metastasis and to follow response to therapy of clm. ...Read more

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Can benign hepatic liver lesions spread to other body areas? Waiting to see if they grow in few months with mri. Can i get these out will come back?

Can benign hepatic liver lesions spread to other body areas?   Waiting to see if they grow in few months with mri. Can i get these out will come back?

No: By definition benign hepatic or liver lesions don't spread or else they are not benign but malignant. Rarely "benign" that is non-cancer, non-malignant liver lesions grow big enough to rupture or cause symptoms requiring surgery, but most are incidental findings during imaging study such as us, ct scan or MRI & are of no consequence other than usually followed over time to confirm not growing. ...Read more

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What do echogenic and slightly hypoechoic liver lesions in ultrasound mean?

What do echogenic and slightly hypoechoic liver lesions in ultrasound mean?

Liver lesions: Unfortunately, without being able to view the images or a more complete description, it could be anything from a benign process to something more serious. Echogenic simply means that the lesions appear brighter than normal liver on ultrasound, hypoechoic means they appear darker. Talk to your doc about the results. ...Read more

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Do liver lesions most likely benign hepatic make a person very tired ?Does liver lesions have to do with a little higher than normal glucose levels?

No & no: Benign liver lesions do not usually cause symptoms. Some exception include cavernous hemangiomas can rarely bleed enough to cause pain or become infected; amoebic liver abscess may cause pain, fever, chills and fatigue; fatty liver with liver enlargement (hepatomegaly) may stretch liver capsule causing dull ache in RUQ of abdomen. Blood sugars not affected by benign liver lesions. ...Read more

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I had us that showed multiple hyperechoic liver lesions. Consider hemangias. Mri was inconclusive did not look like hemangioma but too risky to biopsy?

I had us that showed multiple hyperechoic liver lesions. Consider hemangias. Mri was inconclusive did not look like hemangioma but too risky to biopsy?

Not really: enough information to venture a guess. Why is biopsy too risky? What are the specific MRI characteristics of the lesions? If MRI was truly inconclusive, CT scan might be helpful for additional evaluation. ...Read more

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Liver lesions can have different measrmnts in CT vs US, where CT is more acurate.Can measurements also be differece between CT and MRI?

Liver lesions can have different measrmnts in CT vs US, where CT is more acurate.Can measurements also be differece between CT and MRI?

Yes and no.: The lesion could still be the same size, but the reported measurements can differ because of slight differences in the manual placement of the measurement calipers, as well as potentially measuring the lesion in different planes. ...Read more

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Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

It depends: Prognosis for Pancreatic Cancer is typically quite poor. But in some patients(5-10%) the tumor can be completely controlled but 90+ percent do tend to get into trouble in one to two years after Surgery.
Are you currently free of any visible Cancer in your abdomen? Tell us the details of your recent test results...do they show any tumors or have these been completely controlled??? ...Read more

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I have 6cm area of colon identified as possible mass on CT w contrast, and innumerable low density liver lesions. Is it possible the lesions are mets?

I have 6cm area of colon identified as possible mass on CT w contrast, and innumerable low density liver lesions. Is it possible the lesions are mets?

Unfortunately yes: Sorry to read this. I assume you will have some sort of tissue diagnosis soon, either with a CT-guided biopsy of a liver lesion or through a colonoscopy. If you are found to have cancer at your age, you should have genetic testing. ...Read more

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Mcrc patient. Cea before chemo was 65, after round 1-80, after round 2-55, after round 3-40 But ct scan shows increase in size in liver lesions ? Can this happen ?

Mcrc patient. Cea before chemo was 65, after round 1-80, after round 2-55, after round 3-40
But ct scan shows increase in size in liver lesions ? Can this happen ?

Yes: The CEA level is not always reliable in judging whether therapy for colorectal cancer is successful or not. It is just one tool, just as the scans are. You should rely on the judgment of your oncologist as to how your therapy is doing for you. Good luck. ...Read more

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What CT scan protocol is recommended for follow-up scans on pts w/ h/o crc & multiple <1cm cystic liver lesions on right lobe to r/o liver metastasis?

What CT scan protocol is recommended for follow-up scans on pts w/ h/o crc & multiple <1cm cystic liver lesions on right lobe to r/o liver metastasis?

Liver protocol: Ct scan with liver protocol or MRI of the liver would be able to show you in more detail. If there were no liver lesions before and now with multiple liver lesions, ultimately, a liver biopsy should be done to definitely tell you what they are. Your cancer marker also can give you more information. Pet scan should be considered as well. ...Read more

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7mm periampullary lesion, 3 liver lesions, total beta hCG is high, anion gap-10, monocytes-1.1, chloride high, erc low, cbd & pancreatic duct dilation?

7mm periampullary lesion, 3 liver lesions, total beta hCG is high, anion gap-10, monocytes-1.1, chloride high, erc low, cbd & pancreatic duct dilation?

Your question?: I appreciate your sharing this, but no one here will be able to make the call. Unless your HCG is extremely high, it means nothing. The other labs are not helpful. Your periampullary lesion has hopefully been biopsied, as will your liver lesions if the radiologist cannot certify them as benign. Hoping celiac sprue has been ruled in or out, along with whipple's and common lactose intolerance. ...Read more

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I was told by my Dr I had both hypotenuse and hyperdense lesions on my liver. What is the difference, what do they mean, what is it?

I was told by my Dr I had both hypotenuse and hyperdense lesions on my liver. What is the difference, what do they mean, what is it?

Liver specialist: Ask your doctor to refer you to a liver specialist who will be in a better position to interpret the results and make appropriate recommendations. ...Read more

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I have lesions on both my liver and kidneys?

I have lesions on both my liver and kidneys?

Please follow doctor: advice. Also, see by Patrick Quillan, PhD, clinical nutritionist about helpful diet to support your situation. Peace and good health. ...Read more

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How common are low-level density lesions in the liver?

How common are low-level density lesions in the liver?

Liver lesions: Liver cysts are actually fairly common, there are other causes that are not so benign. Often it is best to have complimentary studies such as an ultrasound and MRI to best evaluate the cause. ...Read more

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I have complex lesions with internal septation within the liver... What that mean ?

I have complex lesions with internal septation within the liver... What that mean ?

Liver lesions: Liver lesions could be cysts or some other lesion . Hemangioma a, tum our and cysts or abscess can be there. Please see a gastroenterologist. ...Read more

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Why are there low density lesions seen associated with the liver and how do the liver becomes enlarged?

Why are there low density lesions seen associated with the liver  and how do the liver becomes enlarged?

Many possibilities: for "low density lesions" in liver on CT scan. MOST of these are benign cyst, hemangioma, or adenoma and no concern. But cancer can also be a "low density lesion" if the exam was done without contrast. Enlarged liver is due to abnormal fat storage. If you have your CT study on a CD, I can review it at healthtap.com/saurbornmd. Click the Send Message button to start. ...Read more

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How is it possible that relatively small <5cm benign lesions in liver can cause discomfort when liver has no pain reporting nerves?

How is it possible that relatively small <5cm benign lesions in liver can cause discomfort when liver has no pain reporting nerves?

The liver capsule: Which is the thin layer of internal "skin" that surrounds and encloses the livwer does have nerves that sense pain. So if there are areas where the liver is expanding due to smaller lesions or these are close to the liver's capsule then there will be visceral, usually dull vague pain. Other internal structures, like the biliary system (bile ducts) can cause pain if they are blocked. Best wishes! ...Read more

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Is liver biopsy painful?

Is liver biopsy painful?

It's not a bee sting: Despite using a local anesthetic, a liver biopsy is at best uncomfortable. A rather large gauge needle is used. Goes through the skin and muscle on the side of your abdomen and into the liver. Once there, the worse is over, pain wise. ...Read more