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Age 36, no alcohol. Bilirubin 4 sgpt 127 sgot 79 liver size 14.5cm. Diffuse fatty liver. No biliary dilatation. Common duct 2mm. Confirm fatty liver?
Hepatomegaly, otherwise known as an enlarged liver, is a clinical finding in which the liver is found to be larger than is normal, either by the physical exam from a physician or by imaging such as CT scan or ultrasound. This can be due to alcoholism, hepatitis viruses, inherited liver ...Read more
Workup: If available, get a proper genetic workup even if no one else in the family is affected. If your amylase is high but lipase normal and there is nothing on imaging pointing to the pancreas, this may be macroamylasemia. If the pancreatitis is real, checking the cystic fibrosis and trypsinogen loci is indicated. This may be one piece in the puzzle. Be persistent. ...Read more
This sounds serious: To translate, you have liver cell damage and scarring (cirrhosis), which caused abnormally elevated portal vein pressures which caused venous distention in esophagus (varices). You also developed fluid in abdominal cavity, because of the high portal vein pressure. This imaging study is showing advanced stage of liver disease. You must get a specialist to treat you. ...Read more
Mild ascitis, mild hepatomegaly with slightly coarse echotexture to r/o liver parenchymal disease, mild spleenomegaly and electrolyte imbalance?
Cirrhosis: The presentation is consistent with liver cirrhosis. What caused that - not clear from the presentation. Discuss it with your doc. ...Read more
can this be encephalopathy?
Yes: It could be. See your doctor now to find out why. Don't wait for it to get worse. ...Read more
Elevated liver enzyme , mrcp indicated mild intrahepatic ductal dilatation, mild splenomegaly, normal ercp, what causes that, how it treated?
Inflammation: Ductal dilation can be obstructive or non obstructive. Causes of obstruction such as stones, stricture, tumor etc to be ruled out. Usually when not obstructed mild dilation can be related to inflammation or cholangitis. These inflammatory processes usually treated medically. ...Read more
Confusion: Clinically and under the microscope, wilson's (rare) can look treacherously like alcoholic liver disease or non-alcoholic steatohepatitis (nash, very common). In fact, even weighing the copper in the liver can be misleading because the biopsy may be regenerative nodules. A urinary copper check is part of my preferred workup, and consider a genetic check. ...Read more
How to reduced fatty liver and sgpt 430 for nonalcoholic person, doctor diagnosed fatty liver with unexplained reason high sgpt ?
Fattyliver and hyperlipidemia, new lftresults bilirubin 0.2, alk.Phos.174, alt89, protein 8.6, albumin3.9, ast35.Lft&ct 3mo ago normal.Cause of elevated lft?
Still fatty liver: Were you told that you have type 2 diabetes and fatty liver? Sometimes the only sign of fatty liver related to metabolic syndrome and type 2 diabetes may be an increased liver enzymes such as alt. An MRI study may show fatty liver. The best bet would be to ask your doctor the reason for the elevated alt. Other labs appear normal. ...Read more
A radiology finding: Usually something noted or commented upon by a radiologist on ultrasound or ct scan. An enlarged liver with excess fatty cells can be from obesity, poor diabetes management, or other medical or medication induced liver changes. Rarely can progress to marked liver damage. ...Read more
No: Liver hemangiomas occur at random and are harmless. ...Read more
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