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Doctor insights on: Hepatic Encephalopathy Mri

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What is hepatic encephalopathy?

What is hepatic encephalopathy?

Hepatic encephalopat: Hepatic encephalopathy is a condition of confusion or altered alertness due to inhibition of brain function. It is believed that this is related to insufficient metabolism of the liver and build up of chemicals that can be transmitted to the brain by the blood stream. In some cases, an elevated blood ammonia level correlates with this condition, but not always, and the role of ammonia is debated. ...Read more

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Dr. John Michalski
5 doctors shared insights

Mri (Definition)

Magnetic resonance imaging named for the effects of the strong magnetic field upon the atomic and molecular phase or spin and the image created when that magnetic field is altered and the excited particle changes gibing off a signal that is recorded and interpreted by a complex computer algorithm, ...Read more


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What CT Scan conclusion means? "three arterialized hepatic lesions showing washout on portal venous phase imaging upon background nodular cirrhosis"

What CT Scan conclusion means? "three arterialized hepatic lesions showing washout on portal venous phase imaging upon background nodular cirrhosis"

Findings. Sx? Biopsy: 1st, the basic problem is nodular cirrhosis - there are signs of liver damage (from what cause, only a doc who knows your history can tell). There are 3 lesions- or nodules- in the liver, fed by an artery, which takes up the dye that was injected at the time of CT scan. The dye washes out, so that's encouraging, but whatever the nodules are, you'll need a biopsy to figure out degree of livr damage ...Read more

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MRI - the liver appears normal without mass, porta hepatis lymphadenopathy or venous thrombus. U/S hepatic echogencity normal. Please interpret.

MRI - the liver appears normal without mass, porta hepatis lymphadenopathy  or venous thrombus.  U/S hepatic echogencity normal. Please interpret.

Normal exams.: The description you have posted is that of a normal liver. Feel free to ask your primary physician to explain the outcome of all of your tests. If you would like a second opinion of your MRI, feel free to schedule a HealthTap Concierge Inbox Consult with me and I can review your images and provide a complete explanation. ...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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No contrast CT showed ill defined hypodense area on hepatic lobe. Ordered new CT w contrast w liver mass protocol not hemangioma protocol concerning?

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

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. ...Read more

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Ct scan tell difference between mild fatty liver infiltration vs cirrhosis? Alt 142 AST 77

Ct scan tell difference between mild fatty liver infiltration vs cirrhosis? Alt 142 AST 77

Depends....: Classic definition of fatty infiltration of the liver (ie, hepatosteatosis) is a 10 hounsfield difference of attenuation between liver and spleen on an unenhanced ct. Secondary sequela of cirrhosis can be demonstrated on a ct such as macrolobulated border and nodule formation as well as sequela of portal hypertension. However, fatty liver and cirrhosis can co-exist and a biopsy can differentiate. ...Read more

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Abdominal ultrasound:what does the following mean?"the liver shows mildly increased echogenicity compatible with fatty infiltration.No focal hepatic

Abdominal ultrasound:what does the following mean?"the liver shows mildly increased echogenicity compatible with fatty infiltration.No focal hepatic

Fatty infiltration : Is also called fatty liver. This is a condition known as steatosis in medical terms. Steatosis can lead to liver damage which can result in cirrhosis. Steatosis is associated with metabolic syndrome which is a collection of problems including diabetes and high blood pressure. You need to see your doctor and possibly a gastroenterologist if you liver labs are too bad. Time to start eating healthy. ...Read more

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Dr. Ziad Akl Dr. Akl
2 doctors agreed:
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Increased /coarse hepatic parenchymal echotexture (liver parenchymal disease ) with prominent portal vein and splenomegaly? Wat it means

Dr. Ziad Akl Dr. Akl
2 doctors agreed:
Increased /coarse hepatic parenchymal echotexture (liver parenchymal disease ) with prominent portal vein and splenomegaly?  Wat it means

Severe damage: When damage to the liver occurs for a long time, meaning years, the liver becomes scarred and the veins that bring blood to the liver become distended because of resistance inside the liver. This increased pressure causes the spleen to take more blood and become enlarged. This is called cirrhosis of the liver and can be due to any number of things including alcohol and viral hepatitis. ...Read more

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MRI brain results Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

MRI brain results  Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

Covering the bases: That signal that is seen in patients who age is seen very frequently. Most of the time it is what has become known as microangiopathic disease or small vessel disease. Demyelination and gliosis come with a more notable history. Gliosis or scarring and demyelination also produces symptoms that MRI is useful for. Depends on why you had the MRI in the first place. The first entity more common than 2 ...Read more

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Brain meningioma CT scan why kidney function test?

The dye: With ct scan there is an injection of a dye that could affect the kidneys. The kidney function is checked routinely because the risk of damage from the dye goes high if there is some kidney problems. ...Read more

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Dr. Alan Ali Dr. Ali
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How does brain dysfunction occur in patient with hepatic encephalopathy?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
How does brain dysfunction occur in patient with hepatic encephalopathy?

Hepatic encephalopat: Nitrogenous waste products accumulate in the systemic circulation, such as Ammonia, which crosses the blood-brain barrier and is absorbed by brain cells which use ammonia to form Glutamine, which cause swelling of brain cells. ...Read more

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What is chronic liver parenchymal disease with cirrhosis; varices and ascites?

What is chronic liver parenchymal disease with cirrhosis; varices and ascites?

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

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Can echogenicity of hepatic parenchyma is borderline mild mean auto immune hepatitis?

Can echogenicity of hepatic parenchyma is borderline mild mean auto immune hepatitis?

Fatty liver likely: Lots of substances may "infiltrate" the liver & increase echogenicity (sound waves bounce off liver better). Fatty liver is most common--due to diabetes, high cholesterol, obesity, drinking too much alcohol. Lose weight & stop alcohol consumption if these are your problems. Fatty liver with abnormal liver functions (blood tests) is however considerably more concerning than just an echogenic liver. ...Read more

Dr. Michael DePietro
141 doctors shared insights

Encephalopathy (Definition)

Encephalon means brain, pathy means abnormal, so the full term means abnormal brain. I see the statement used by many of my colleagues, but it is not a diagnosis, ...Read more


Dr. Robert Rahimi
56 doctors shared insights

Hepatic Encephalopathy (Definition)

A condition in which liver failure causes symptoms ranging ...Read more