Top
20
Doctor insights on: Cirrhosis Of The Liver Ultrasound

Share
1

1
Have Cirrhosis of liver. After an ultrasound to monitor for Cancer, it showed a 1 cm hypoechoic nodule in left hepatic lobe. Should worry about cancer?

Have Cirrhosis of liver. After an ultrasound to monitor for Cancer, it showed a 1 cm hypoechoic nodule in left hepatic lobe. Should worry about cancer?

The ultrasound: Appearance is not specific. It may be benign, but malignancy is a possibility. You will probably need CT and/or MRI for further evaluation of the nodule. Needle biopsy may be needed depending on the results.

Dr. Michael Gabor
2,254 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


2

2
How likely is it that 2 rounds of bloodwork and 3 ultrasounds within a year missed cirrhosis of the liver?

How likely is it that 2 rounds of bloodwork and 3 ultrasounds within a year missed cirrhosis of the liver?

Unlikely: It would be very unlikely. Other tests that could be done to confirm are MRI, CT scan or liver biopsy. You could consult a hepatologist for evaluation.

See 1 more doctor answer
3

3
How accurate is a Ultrasound of the liver for finding Cirrhosis?

How accurate is a Ultrasound of the liver for finding Cirrhosis?

Ultrasound of liver: Ultrasound is a very good test to look for liver cirrhosis. This is because a liver that is scarred from whatever disease, will have a different "echotexture" than a normal liver. I would rate it's accuracy as a B+ or higher. It depends of course on the person reading the test, but alot of information can be gained from an ultrasound. It's radiation free and non-invasive.

4

4
Would liver cirrhosis show up on an ultrasound?

Depends: Advanced liver cirrhosis may show up on ultrasound. However, ultrasound can detect fibrosis in the liver even before the development of cirrhosis.

See 2 more doctor answers
6

6
What does an ultrasound of the liver detect? Can it detect cirrhosis or scarring?

What does an ultrasound of the liver detect? Can it detect cirrhosis or scarring?

Ultrasound: Ultrasound of the liver can diagnose changes in the consistency of the liver tissue. It is very good at diagnosing masses and it evaluating the gallbladder. It is less good at definitively diagnosing scarring or cirrhosis, but it certainly can give indications of change in the liver with those conditions are present. Hope that helps.

7

7
Liver ultrasound revealed 'mildly coarse liver in a subtle finding' - end stage cirrhosis?

Liver ultrasound revealed 'mildly coarse liver in a subtle finding' - end stage cirrhosis?

No: End stage cirrhosis would not be a subtle finding. This could represent many conditions, including early cirrhosis, however. Follow up with your doctor is essential. Hope this helps!

8

8
I was diagnosed with mild fatty liver with border line heptomegly per ultrasound. I am 38 f could this be beginning of cirrhosis?

I was diagnosed with mild fatty liver with border line heptomegly per ultrasound. I am 38 f could this be beginning of cirrhosis?

Liver is enlarged: A liver biopsy can tell if you have increased risk of getting cirrhosis. Enlargement is not cirrhosis; cirrhotic livers are shrunken and scarred. The question to answer is do you have nash (inflammation of the liver caused by fat, and by definition, occurs in nondrinkers) or just fatty liver (steatosis) which would be lower risk. Maintain a healthy weight.

See 1 more doctor answer
9

9
QUESTION FOR HEPATOLOGISTS: Could two Fibroscans and 3 ultrasounds miss advanced liver cirrhosis? Biopsy is out of the question

QUESTION FOR HEPATOLOGISTS: Could two Fibroscans and 3 ultrasounds miss advanced liver cirrhosis? Biopsy is out of the question

Reasonable test: If biopsy if unreasonable, the a fibroscan is a reasonable alternative. It is quite specific, meaning that if you are low value/result that it's unlikely that you have advanced fibrosis/cirrhosis, the actual percentage or specificity value, depends on your cut off point. So if you provide your specific results docs here may be better able to guide you.

11

11
Will liver disease or cirrhosis show up on an ultrasound? My US came back normal, I am having RUQ discomfort. Possible Hida scan next.

Will liver disease or cirrhosis show up on an ultrasound? My US came back normal, I am having RUQ discomfort. Possible Hida scan next.

Most of the time: Ultrasound can detect many of the morphologic changes of cirrhosis, but is not 100%. In one study, ultrasound detected those findings in about 90% of patients with known cirrhosis. Early liver disease may not show up on imaging, however. If you are getting a HIDA scan, they are probably looking at your gallbladder and biliary system specifically.

12

12
Could all your labs and liver test be perfect and ultrasound show borderline heptamegly and fatty steosis could you still have beggining. Cirrhosis?

Could all your labs and liver test be perfect and ultrasound show borderline heptamegly and fatty steosis could you still have beggining. Cirrhosis?

Follow visits, labs+: Not all the cases of fatty liver end up in cirrhosis. But if you use alcohol abstinence totally if possible will be a preventive effect from your side. Though labs are ok now, periodic liver fn. Test once in 3-6 months, physical exam for following the hepatomegaly atleast once every 6 months needed. Also when you take any new medication be careful about the sideeffects of medications aff. Liver.

14

14
Long history of very heavy drinking. Ultrasound 16 Mnth ago showed fatty liver all else norm. Been abstinent 5 months. Is cirrhosis unlikely? Thanks.

Long history of very heavy drinking. Ultrasound 16 Mnth ago showed fatty liver all else norm. Been abstinent 5 months. Is cirrhosis unlikely? Thanks.

Yes, unlikely: An ultrasound can generally distinguish between fatty liver and the presence of denser tissue, like fibrosis and scarring (which are found in cirrhosis). If you stopped drinking, it should return to normal, and congratulations! Your doctor can follow up, generally with blood tests (or maybe another ultrasound) to determine whether things have gotten back to normal. Keep staying away from alcohol

See 2 more doctor answers
15

15
How likely is Cirrhosis? Ultrasound 9 months ago showed some fatty liver changes. Everything else normal. Relapsed twice. Now in remission. Thanks.

How likely is Cirrhosis? Ultrasound 9 months ago showed some fatty liver changes. Everything else normal. Relapsed twice. Now in remission. Thanks.

Depends: There is only so much insult that a liver can take. It is imperative that you keep your weight under-control, refrain from alcohol entirely, avoid drugs/medications toxic to liver, e.g., acetaminophen. Consult your doctor about diet that may be suitable for you. Get Hep B vaccine if you have not done so. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex.

16

16
Will an abdominal ultrasound show a fatty liver or early stages of cirrhosis?

Will an abdominal ultrasound show a fatty liver or early stages of cirrhosis?

It may: Show abnormality related to liver, but the findings are not specific. Further testing would be needed.

18

18
Will a ultrasound detect cirrhosis? The us said I have mild fatty liver with borderline heptomegly. My enzymes are good. Iron is a bit low

Possibly: Mild fatty liver with borderline hepatomegaly is a not infrequent finding on ultrasound and is not necessarily an indicator of cirrhosis or nash (nonalcoholic steatohepatitis). In particular with normal liver enzymes, likelihood of mild fatty liver and borderline hepatomegaly being something concerning is very low. However, you should follow up with your doctor.

See 1 more doctor answer
19

19
Ultrasound revealed 'mildly coarse' liver but fibroscan says normal or no fibrosis? Which one do I trust? Could I have invisible cirrhosis

Ultrasound revealed 'mildly coarse' liver but fibroscan says normal or no fibrosis? Which one do I trust? Could I have invisible cirrhosis

Fibroscan accurate: Real time ultrasound examination is more subjective in evaluating texture of liver and not exact. Fibroscan or elastography is special ultrasound tests for stiffness of liver and is more objective with a numeric value generated. Stiffer livers usually more likely fibrotic. Elastography should be more accurate.

20

20
If you had beginning cirrhosis from fatty liver from being obese would your blood work be completely normal and ultrasound only show fatty liver?

If you had beginning cirrhosis from fatty liver from being obese would your blood work be completely normal and ultrasound only show fatty liver?

Yes: Fatty liver is associated with obesity and prediabetes. In my practice I will approach this as a serious predictor of future health issues beyond the liver and will work with patients to change lifestyle and diet. Fatty liver does lead to cirrhosis and that can cause other issues. Early in the disease the liver enzymes in the blood can be normal although you may have ultrasound changes.

See 2 more doctor answers
Dr. Harinder Gill
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