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Doctor insights on: Ct Without Contrast Liver Lesion

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What is " no definite liver lesion seens" on non contrast CT scan means? Us followed 3 mn later says no masses " why CT impression so vague

What is " no definite liver lesion seens" on non contrast CT scan means? Us followed 3 mn later says no masses " why CT impression so vague

Vague reports: The amount of vagueness in a report varies from radiologist to radiologist, but it is common. Generally, they are careful to use language that won't create any legal troubles for them down the road. In this case it is clear that both the ct and the ultrasound were negatie. ...Read more

Dr. Krishna Kumar
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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What's the difference between a liver hemangioma and liver lesion on my CT scan?

What's the difference between a liver hemangioma and liver lesion on my CT scan?

Definitions: Lesion is any abnormal mass or tumor in the liver. Does not mean cancer or benign. Hemangioma is a specific benign lesion. ...Read more

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I have had a liver lesion since 2007 that was never followed up on until now and a CT scan with barium was ordered...Why? Is it to look for cancer?

I have had a liver lesion since 2007 that was never followed up on until now and a CT scan with barium was ordered...Why? Is it to look for cancer?

Probably not.: In a young woman, most common liver tumors are benign hemangioma, but hepatoma is possible, with increased likelihood if you are on birth control pills. Enlarging liver masses sometimes need surgery to keep them from causing bleeding, even if they aren't cancerous. You are young: if this is liver, think about asking for ultrasound or an MRI with Eovist instead, to avoid the small radiation risk. ...Read more

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3mm hypodense liver lesion in caudate lobe & two 3mm hypodense pancreatic head lesions on CT in setting of carcinoid workup. Can these be tumors?

3mm hypodense liver lesion in caudate lobe & two 3mm hypodense pancreatic head lesions on CT in setting of carcinoid workup. Can these be tumors?

May or may not be: It takes time and follow up CT scans to see if these tumors are growing in size. If they are not tumors (cancer) it will remain unchanged in size over a period of 3-6 months. A biopsy may be required to confirm it in case these lesions are increasing in size (growing bigger). They are too small to do a biopsy now, need to be at least 1Cm or bigger. ...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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Ct scan results (abdomen with contrast) say renal cell carcinoma and lesion mass. What should I do? (age 83years. Previously used to smoke heavily)

Ct scan results (abdomen with contrast) say renal cell carcinoma and lesion mass. What should I do? (age 83years. Previously used to smoke heavily)

Talk to oncologist: To make a plan that fits in with the way you want to live your life. There are many aggressive options, and there are alternative options. Make sure you discuss all your wishes with your family so they are all on the same page as you are. Good luck with everything, and best wishes! ...Read more

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Can MRI without contrast still be effective in deciding about benign vs malignent (God Forbids) liver lesion?

Can MRI without contrast still be effective in deciding about benign vs malignent (God Forbids) liver lesion?

MRI WITH contrast...: Even an MRI WITH contrast won't be completely accurate in distinguishing a benign or (God forbid) malignant liver lesion. The GOLD STANDARD way to determine malignancy is by biopsy. Now, some liver lesions are deep & cannot be biopsied without risky surgery. Not everyone can undergo surgery. MRI with contrast can help determine whether or not to take this risk, but by itself is not diagnostic. GL. ...Read more

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Lesion appear to demonstrate some hyperenhancement, what does that mean? This is from a CT scan done on the liver j

Increased: Increased enhancement (uptake of injected x-ray dye) is something that can happen with a lot of different processes, including infection. By itself, that finding doesn't mean much. However, if you have a background history of liver disease, or the increased enhancement is associated with a mass, or if the enhancement is present early but goes away quickly (something that would only be seen if your study was done in multiple phases), then there could be more to worry about.

In the absence of a history of liver disease, and if you have no current problems (that is--this was a purely incidental finding), then a follow-up ct in 3-6 months is probably all you need. If there are other liver issues, though, it might be reasonable to do something now, maybe even including a biopsy.

Again, there are a lot of variables here. You probably talk to the doctor who ordered this ct scan to determine what is appropriate in your case. ...Read more

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What could a cyst on the liver be? Ct showed lesion on liver that could be a simple cyst. Appt w/ GI in am.

What could a cyst on the liver be? Ct showed lesion on liver that could be a simple cyst. Appt w/ GI in am.

Common; fluid filled: Commonly seen abnormality; fluid filled. Generally of no particular concern. Generally cause no symptoms, nor a sign of liver disease. ...Read more

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Ct found lesion on my liver, MRI shows nothing. Which is accurate?

Hard to say: If there is a lesion that is invisible on MRI though, it is not likely to have any clinical significance. ...Read more

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Ct found lesion on my liver but MRI shows nothing. Which is more accurate?

Ct found lesion on my liver but MRI shows nothing. Which is more accurate?

It depends: It depends on the type of lesion and the type of CT/MRI performed. They are complementary tests, for some applications CT may be more appropriate, for some MRI, and for some both may be needed. However, if the MRI was tailored specifically to evaluate the CT finding, and was technically adequate, and was normal, it may be that he CT finding was an artifact. Your doctor can help you sort it out ...Read more

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Hello, . I noticed on my results from a ct scan that I have a tiny hypoattenuating lesion on my liver. They were not concerned about it in 2013?

Hello, . I noticed on my results from a ct scan that I have a tiny hypoattenuating lesion on my liver. They were not concerned about it in 2013?

The vast: Majority of these are benign incidental findings, usually tiny cysts or benign hemangiomas. If you have no history of malignancy or other risk factors, and it's been 3 years, in all likelihood it is nothing to worry about. ...Read more

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Hi I done CT they found fatty infiltration of the liver andthere is a rounded lesion of hyperdensity in the posterior segment the lobe liver 3.6x 3.2?

Hi I done CT they found fatty infiltration of the liver andthere is a rounded lesion of hyperdensity in the posterior segment the lobe liver 3.6x 3.2?

CT hyperdensity: There is not enough detail to render an opinion on the lesion. The 'hyperdense' descriptor is very nonspecific. It could be anything from nothing to worry about ('focal sparing', or an island of normal tissue surrounded by fatty infiltration), to something more serious. Is there more detail in the report? Talk to your doc. Fatty infiltration is benign fat deposition due to multiple possibles cause ...Read more

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Ct revels small stone, in bd of liver, prominant cbd, low den. Lesion or mass on panc.  What does this mean?

Ct revels small stone, in bd of liver, prominant cbd, low den. Lesion or mass on panc.  What does this mean?

Consult: I believe you would benefit from an email consultation. An online physician would be able to look at your CT report and review your medical history to help interpret the results and explain next steps of care. You would need to upload the CT report and the note from your last visit with PMD. ...Read more

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CT scan report says " subcapsular early hyperenhancing lesion that is isodense to liver on portal venous & equiblrium phases." What could it be?

CT scan report says " subcapsular early hyperenhancing lesion that is isodense to liver on portal venous & equiblrium phases." What could it be?

Is this new lesion?: Benign tumors /neoplasms of the liver are not cancerous; malignant tumors are. See prior answer regarding differential for benign ones. Malignant tumors include: fibrolamellar carcinoma, hepatoblastoma, cholangiocarcinoma, cystadenocarcinoma, angiosarcoma, undifferentiated sarcomas, epitheliod endothelioma. Metastatic liver tumors originate elsewhere (frequently from stomach, breast, lung, colon) ...Read more

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A 9mm hyper vascular lesion showed up on a recent ct scan, but did not show up on my liver ultrasound last fall? Is this normal?

A 9mm hyper vascular lesion showed up on a recent ct scan, but did not show up on my liver ultrasound last fall? Is this normal?

Yes: Some things do not show up on both types of scans. They may choose to repeat the CT san in 6 months to follow the lesion. ...Read more

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I didn't mention, my CT scan in 2008 said fatty liver but mass lesion is difficult to exclude, 2012, it said liver does not show any definite lesion?

I didn't mention, my CT scan in 2008 said fatty liver but mass lesion is difficult to exclude, 2012, it said liver does not show any definite lesion?

Fatty liver common: Fatty liver occurs in about 1/4 of americans, & correlates with obesity, elevated cholesterol, diabetes, significant alcohol intake. Fatty liver can progress to cirrhosis, so patients with fatty liver (especially if abnormal liver tests) really need to: stop drinking, lose weight, control their sugar & cholesterol. So far so good with your x-ray in that tumors are not described on current films. ...Read more

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Ct scan revealed small hyperdense lesion in right lobe of liver that is "more prominent than on recent study 7 months ago". What does this mean?

Ct scan revealed small hyperdense lesion in right lobe of liver that is "more prominent than on recent study 7 months ago". What does this mean?

Depends: This depends on whether the ct was done w/ contrast/dye or not. If it enhances w/ contrast it could a hemangioma which is a benign. If you take birth control pill it could be an adenoma. If you have cirrhosis it could be a primary liver cancer. If you have breast or lung or other cancer, it could be a metastasis from those cancer. Your doctor can determine if the lesion need biopsy or not. ...Read more

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My CT of my abdomen and pelvis all came back clear except for my liver. The report showed a 3 mm hypoattenuating lesion. What is this? Rest liver okay

My CT of my abdomen and pelvis all came back clear except for my liver. The report showed a 3 mm hypoattenuating lesion. What is this? Rest liver okay

Probably cyst; incid: If you weren't having problems with your liver (ie that wasn't the purpose of the ordering doc) then don't worry much about the incidental finding. While there is no way to know for sure w/o seeing the image & a biopsy, from the sounds of it, it looks like a simple cyst (which is fluid filled and so less dense -hypoattentuating) in the liver. Anyone can get small 1 & not have any problems. TTYD ...Read more

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Ct scan found a lesion on my liver, a 6mm nodule on my lung, 2 tracheal lymph nodes 1cm each?

Follow up CT: The importance of the findings may depend on why your ct scan was done. Current guidelines suggest Incidental single lung nodules between 4-6 mm in patients over 35 need follow ct scan, the interval between scans is dependent on the risk of cancer (smokers, exposure to asbestos, etc). 10mm (1cm) lymph note near trachea is upper limits of normal size. ...Read more

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Biopsy: "sigmoid colon, well differentiated adenocarcinoma, grade i" does this indicate that the tumor won't probably metastasize? Triphasic CT shows a lesion in the liver (1cm) as well.

Grade 1 is a good: Sign, but nothing is guaranteed. Need to further understand the liver lesion as well.

Work with the medical team to put together the best treatment plan for the individual patient situation. ...Read more

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My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

My aunt is alcoholic CT showed Atypical Hepatoma hypodense lesion in lobe 4 of liver abutting gall bladder splenomegaly varices & portal HTN. Rx?

See GI doctor: Looks like that she has sustained major liver damage from the alcohol. She needs the expert care of a GI doctor and is at risk for upper GI hemorrhage as well. ...Read more

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What kind of liver disease or signs of liver problems does a contrast CT find?

Liver disease: The CT scan without contrast will reveal cysts, masses, liver size and heterogeneity vs homogeneity of liver parenchyma (scar or inflammation). Adding contrast allows vascular structures to "light up" and this would indicate tumor or hemangioma. Also, texture of liver is better pictured with contrast - to determine scar or inflammation. ...Read more

Dr. Ana Adelstein
1 Doctor shared a insight

Computed Tomography (Definition)

Ct uses xrays taken an 360 degrees combined with a computer to see"inside" the body. The table moves as the xray tube and detectors spin around the patient 10 times a second or more! The image shows excellent soft tissue detail, enhanced with injection of intravenous contrast or oral contrast. This way the body is shown in slices, in any plane, usually axially, but ...Read more


Dr. Scott Bolhack
802 Doctors shared insights

Wounds (Definition)

Wound = injury to tissue. May include ...Read more