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Doctor insights on: Hyperenhancing Foci On Liver Wash Out During Venus Phase

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Does 11 mm foci in liver need further follow up?

Does 11 mm foci in liver need further follow up?

Usually yes: There are features on your test that can give you an idea if these lesions are concerning or not. Check with your doctor. ...Read more

Dr. Adam Lewis
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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I was found on recent CT of the abdomen with IV contrast to have hypoattenuating foci of my liver with thickening of my adrenal glands. What is it?

I was found on recent CT of the abdomen with IV contrast to have hypoattenuating foci of my liver with thickening of my adrenal glands. What is it?

Consultation: It sounds like your medical issues have already had some evaluation. Start with the doctor who ordered the test. For a second opinion from a doctor on HealthTap the "inbox consult" allows you to message back and forth like email, and is good when a lot of information needs to be exchanged (like prior test reports, etc.) ...Read more

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I am a trainee of radiology & have a query. "what can be the reasons of multiple tiny echogenic foci throughout the liver both central & peripheral.

I am a trainee of radiology & have a query. "what can be the reasons of multiple tiny echogenic foci throughout the liver both central & peripheral.

Tiny echogenic foci: The most common cause of "tiny echogenic foci throughout the liver" is punctate calcification secondary to prior granulomatous infection. Certain organisms are more common depending on what part of the world the patient has lived. Alternative considerations include gas bubbles within the biliary tree (pneumobilia) or the portal veins. There are differentiating imaging features. ...Read more

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Is liver showing diffuse increased parenchymal echogenicity with 2 small calcific foci in right lobe measuring about 2.5mm each is something to worry?

Is liver showing diffuse increased parenchymal echogenicity with 2 small calcific foci in right lobe measuring about 2.5mm each is something to worry?

Concern: This question is best answered by a gastroenterologist or hepatologist (liver specialist). I would be concerned about chronic liver inflammation or fatty infiltration. I assume that you have been instructed to abstain from alcohol. A liver biopsy may be indicated for diagnosis. ...Read more

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Code on record was 574.20, K80.20. gall stones foci 6mm? Liver/ gall bladder normal. No pain. Does this mean cholestasis too? Why code it this way?

Code on record was 574.20, K80.20. gall stones foci 6mm? Liver/ gall bladder normal. No pain. Does this mean cholestasis too? Why code it this way?

I believe you've. ..: ...asked this almost exact question a few hours ago, and received a directed answer. Was there something else we can do for you regarding this matter? ...Read more

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Ultrasound said gall bladder, liver, spleen normal. Few tiny foci 6mm in gall bladder. Should I be concerned about cholestasis? Will stones get bigger?

Ultrasound said gall bladder, liver, spleen normal. Few tiny foci 6mm in gall bladder. Should I be concerned about cholestasis? Will stones get bigger?

Cholestasis: Is the slowing down or blockage of bile flow from the liver to the small intestine via the bile ducts, and can have various etiologies. A gallstone can result in obstructive cholestasis by exiting the gallbladder and getting stuck in the common bile duct, thereby causing an obstruction. Gallstones can get bigger with time. ...Read more

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Liver cirrhosis- demostrates heterogenous coarse echotexture with nodular outline, echogenic foci are seen, what does it means and need advise.

Liver cirrhosis- demostrates heterogenous coarse echotexture with nodular outline, echogenic foci are seen, what does it means and need advise.

Cirrhosis: It means that the liver is not functioning well. You need to be evaluated soon by a liver specialist and will need further testing to find out reason why you developed this condition. Also you need to get evaluated to find if there are any complications has developed due to cirrhosis. ...Read more

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Had ultrasound that indicated gall stone foci (6mm). Liver and gall bladder normal. No pain. Coded as cholestasis. Why not say minor gall stones?

Had ultrasound that indicated gall stone foci (6mm). Liver and gall bladder normal. No pain. Coded as cholestasis. Why not say minor gall stones?

Coding error?: I agree. Sounds like the more appropriate ICD-10 code for your finding was K80.20 = Calculus of gallbladder w/o cholecystitis w/o obstruction. Perhaps your provider has however other data that supports a diagnosis of cholestasis (K71.0, K83.1). ...Read more

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During the inactive phase of life cycle of hepatitis b virus in hepatocytes can there still be liver damage?

During the inactive phase of life cycle of hepatitis b virus in hepatocytes can there still be liver damage?

No, but...: Biopsies of livers with inactive hepatitis b show no inflammation by histology and liver enzymes are normal. But low levels of replication can still occur and this may have some influence on carcinogenesis. ...Read more

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What risks are associated with hemangioma of the liver during pregnancy?

What risks are associated with hemangioma of the liver during pregnancy?

Probably none: Unlike hepatic adenomas, the risk of pregnany related increase in size and associated bleeding is minimal to none. ...Read more

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What happens during the beginning stages of cirrhosis of the liver?

What happens during the beginning stages of cirrhosis of the liver?

Cirrhosis: Weakness, decreased appetite, weight loss, nose bleeds. More serious are jaundice, confusion, impotence, swelling of abdomen & legs. ...Read more

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What form of malic acid could I take to replace the 5 green apples per day during a liver cleanse?

What form of malic acid could I take to replace the 5 green apples per day during a liver cleanse?

Don't do it: "liver cleanses" are protocols offered by charlatans. They take advantage of people who worry (rightly or wrongly) about pesticides, gmo food or whatever, and have them eat and drink things that will make them sick. The science is all phony. I suspect some of these are sadistic hoaxes. You do not need to cleanse your liver. Get with an honest, evidence-based holistic practitioner as a guide. ...Read more

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I been sick for 2weeks now and during that time I drank a lot of day quils and nite quils. The back info says it can cause sivere liver damage. Why?

I been sick for 2weeks now and during that time I drank a lot of day quils and nite quils. The back info says it can cause sivere liver damage. Why?

Corporate Lawyers: The quils contain Acetaminophen (tylenol) 325 mg in each tbsp. Taking more than 45 mls four times a day would exceed the normal dose of acetaminophen, but you would have to take a lot more than that or be drinking a fair amount of alcohol to produce toxicity. ...Read more

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How can I protect my liver during pregnancy?

How can I protect my liver during pregnancy?

Read before you take: Many toxins can damage the liver. Some are eaten or drunk by people who might not know they are pregnant. They do not always cause problems during the pregnancy, but for the sake of the baby and mom, expectant women should read labels, ask questions, check reports on what they consume. A good place to start looking, besides an OB office, is. Gov sites for alerts and credible information. ...Read more

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What happens during stage 3 cirrhosis of the liver?

What happens during stage 3 cirrhosis of the liver?

Need more info: Stage 3 = bridging fibrosis (scarring of the liver) which is the stage before cirrhosis = stage 4, so stage 3 is not cirrhosis, however you could have had complications like fluid build up (ascites), confusion (hepatic encephalopathy), vomiting blood (esophageal varices) that might make your "stage 3" an underestimate (meaning you might be close to stage 4). Discuss with your liver doctor! ...Read more

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Dark spots on liver were found during ultrasound. What does this mean?

Need to see image: Can't really give a definite answer without seeing the study. A round, solid black spot could be a cyst. You also might have seen blood vessels in cross section. Could be any number of things. What did the report say? You should just ask your doctor. ...Read more

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What if there is small (0.5cm) whitish spot in liver during ultrasound?? Everything else in norm

What if there is small (0.5cm) whitish spot in liver during ultrasound?? Everything else in norm

Nothing serious: A "spot" of this size is rarely significant especially at your age. I am wondering why the Ultrasound was ordered? ...Read more

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Non alcoholic beer whilst having a fatty liver-safe?

Non alcoholic beer whilst having a fatty liver-safe?

NASH - BEER: Hi ~ Yes, NASH + non alcohol beer is completely OK and won't worsen NASH as long as you don't drink too much since it contains carbs. If you are OBESE please go on carbo reduced diet to reduce fatty infiltration in liver. Thanks ...Read more

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Will fatty liver affect my developing baby during my pregnancy?

Will fatty liver affect my developing baby during my pregnancy?

Fetal liver: Acute fatty liver of pregnancy (aflp) is a rare, potentially fatal complication that occurs in the third trimester or early postpartum period. Although the exact pathogenesis is unknown, this disease has been linked to an abnormality in fetal fatty acid metabolism. Early diagnosis of aflp sometimes can be difficult because it shares features with other common conditions such as pre-eclampsia, vira. ...Read more

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Can I use such herbs like silybum marianum during pregnancy to strenghten my liver?

Can I use such herbs like silybum marianum during pregnancy to strenghten my liver?

Why?: Consult with your ob. Otherwise, liver is an organ that serves multiple purposes including drug metabolism as well as hepatic glucose production. ...Read more

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How does metabolic acidosis affect liver clearance of drugs? I.E. Should I stop my medications during metabolic acidosis

See below.: Patients with acidosis severe enough to affect drug metabolism are usually in the ICU with bigger problems. Mild degrees of acidosis are probably not sufficient to affect the clearance of many medications. ...Read more

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Been told I have fatty liver ive been eating just veggies durin day & meat during nights. How else can I make the discomfort go away under left rib?

Prob not related: Since the liver is in the upper RIGHT abdomen, it's unlikely that liver trouble is the direct cause of your pain under a left rib. Is your spleen enlarged? You need a competent evaluation. ...Read more

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What to expect during end of life kidney and liver failure?

Peaceful end!: Both kidney failure and liver failure cause a sleep state such that patients die peacefully, without being aware of any discomfort or pain. ...Read more

Washing (Definition)

As soon as possible after being exposed to poison oak or poison ivy, washing the skin and clothes well can help reduce exposure to the offending oil and the ...Read more