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Doctor insights on: Hypoatenuating Liver Lesion

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Is 15x16 mm focal liver lesion considered small ?

Is 15x16 mm focal liver lesion considered small ?

Liver Lesion: It is small and need to know benign or malignant ...Read more

Dr. Bradford Patt
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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Hypodense liver lesion what does this mean?

Hypodense liver lesion what does this mean?

Sounds: like a hepatic cyst but should be confirmed by a high resolution study such as MRI/MRA. ...Read more

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What is a liver lesion and how does it affect people with cirrhosis?

What is a liver lesion and how does it affect people with cirrhosis?

A mass : "lesion" is a non-specific term for any tissue that shouldn't be where you are finding it. It is used as a synonym for a mass or tumor in the liver, and what it means depends on what it is. In cirrhosis, one would worry about any mass lesion representing cancer, since cirrhosis predisposes sufferers to getting liver cancer. However, they can also be the result of injury, infection and other things. ...Read more

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What is best approach to cure 1 cm malignent liver lesion? Surgery perhaps?

What is best approach to cure 1 cm malignent liver lesion? Surgery perhaps?

Yes for Surgery: For a small, single lesion , surgical excision is one of the best treatment options. But there is risk for additional cancers to appear in future. So if the liver is badly scarred/cirrhotic, a liver transplant is also a serious consideration. Seek a second opinion from a liver surgeon. ...Read more

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Anyone know what is a liver lesion and how does it effect people with cirrhosis?

Anyone know what is a liver lesion and how does it effect people with cirrhosis?

Depends: Those with cirrhosis can develop liver lesions over time and that is why it is recommended to get an ultrasound and AFP lab test every 6 months to screen for this. Small liver lesions can be benign, or turn into dysplastic nodules that can turn into hepatocellular carcinoma (hcc) which is the most common primary liver cancer in those with cirrhosis. Other liver lesions could be vascular. ...Read more

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Liver lesion, had c.T. Scan, what is the doctor looking for?

Liver lesion, had c.T. Scan, what is the doctor looking for?

liver: Trying to determine if the lesion is benign or malignant. May recommend additional imaging or biopsy. ...Read more

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2cm liver lesion. Think it's FNH. Rescan next week. A lot of pressure on upper right side of abdomen. Could FNH be mistaken for HCC?? Very scared.

2cm liver lesion. Think it's FNH. Rescan next week. A lot of pressure on upper right side of abdomen. Could FNH be mistaken for HCC?? Very scared.

Yes but: stastistic is on your side
chance of FNH is much more likely than HCC
you have a lot of reason to have FNH being a female may be used BCP in the past
you have no reason what so ever for HCC
even if you have FCC the lesion is so small you will be cured by surgery
i am betting on the FNH and i think i will win
good luck ...Read more

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Is it posible for ultrasound to miss 1.7 cm liver lesion or could it be new one that is seen in 2nd ultrasond aftr about 2 months of first ultrasound?

Is it posible for ultrasound to miss 1.7 cm liver lesion or could it be new one that is seen in 2nd ultrasond aftr about 2 months of first ultrasound?

Ultrasound: is highly operator-dependent, so if the location of the lesion was in an area sometimes difficult to visualize on ultrasound(e.g. just below the diaphragm), or is the lesion is only subtly different from adjacent liver, it is possible. It would be unusual for a 1.7cm lesion to develop in such a short time period. ...Read more

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If liver lesion show on c.t.scan if blood work all normal....can MRI prove to be nothing ?

If  liver lesion show on c.t.scan      if blood work all normal....can MRI prove to be nothing     ?

Liver lesion: If a focal liver lesion is identified on CT, it should be seen on MRI. MRI may help to provide a more specific diagnosis. It may not be nothing, but it may be benign. For example, hemangioma is a common benign liver lesion requiring no treatment. Contrast enhanced MRI(and contrast enhanced CT for that matter) tailored for liver lesion evaluation can help make the diagnosis. ...Read more

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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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What are treatment options for a 2.4 cm liver lesion seen via ultrasound in case it turns out to be malignent?

What are treatment options for a 2.4  cm liver lesion seen via ultrasound in case it turns out to be malignent?

Depends on type.: Even if it's a malignancy (cancer), the options for treatment can vary based on the type of cancer & it's cause. In general, cancers are treated by 1-3 of 3 modalities: 1) chemotherapy (delivered locally or systemic), 2) surgery (liver surgery is risky!), & 3) radiation therapy. There may be adjunct measures like alcohol cessation or antiviral medications if the cancer is result of a virus. TTYD. ...Read more

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A new findin of a liver lesion with 2.8 SUV uptake on pet scan in a colon can patient . Would this b a killed met?

A new findin of a liver lesion with 2.8 SUV uptake on pet scan in a colon can patient . Would this b a killed met?

Possibly: However, the adjacent liver have variable uptake of the PET agent. This could be a normal area of liver or a non-cancerous nodule. Without seeing the images and comparing them to prior studies, I cannot really make an assessment. ...Read more

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If a new liver lesion is found in a person with colon cancer History and this lesion was not present before , but the SUV uptake is 2.8, can this be a killed met? The liver background uptake is 3.8.

If a new liver lesion is found in a person with colon cancer History and this lesion was not present before , but the SUV uptake is 2.8, can this be a killed met?

The liver background uptake is 3.8.

Probably not: Most lesions that metastasize metachronously post colectomy are viable . Many reside in a reservoir, the bone marrow, and eventually are released to spread to sites like tlie liver. While the SUV value is low there may be some devasularization but that does not rule out viability. A bx is needed to characterize the tumor and then resection or microwave ablation followed by chemotherapy. ...Read more

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If a new liver lesion is found in a person with colon cancer History and this lesion was not present before , but the SUV uptake is 2.8, can this be a killed met? The liver background uptake is 3.8. The lesion is 16 mm and Another one is also 16 mm wit

If a new liver lesion is found in a person with colon cancer History and this lesion was not present before , but the SUV uptake is 2.8, can this be a killed met?

The liver background uptake is 3.8.

The lesion is 16 mm and 
Another one is also 16 mm wit

Not sure: if a lesion is under 2.5 cm, it is not big enough to make an accurate judgement as to it's activity. 2.8 SUV is low, so, it is likely to be not cancer. BUT since it is new, I am concerned that it could be a cancerous nodule. Talk to your oncologist. see link: http://www.uptodate.com/contents/management-of-potentially-resectable-colorectal-cancer-liver-metastases ...Read more

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Elevated levels of lipase and amylase, mrcp no pancreatic inflammation, but did show a liver lesion. Also have UC. What is happening??

Elevated levels of lipase and amylase, mrcp no pancreatic inflammation, but did show a liver lesion. Also have UC. What is happening??

Still gallbladder?: if not drinking much alcohol?[4-6 oz /day of wine , 12 oz beer or 1.5 oz whiskey or vodka ] then be sure not taking anything that could harm the pancreas , see side effects /warnings on each medicine. still could be some type of gallbladder/stone issue along the common bile duct or flair of uc, see a g.i. dr. for further tests and no smoking ever, this can cause cancer even of pancrease (pancrelipase). ...Read more

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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

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Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Stage iii-b colon cancer removed surgically. Suspected liver lesion resected and analyzed with not malignancy. Is kras analysis needed for recurrence?

Possibly: For initial treatment after surgery, you shouldn't need to get kras testing. However, if this is metastatic or recurrent colon cancer, then it may help to determine if egfr based therapies like Cetuximab can help (they only work for kras "wild type"). Remember that if you do recur (god forbid), management may be different at that future time! not something to worry about with your current story. ...Read more

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Iam 63 old have soft tisse mass in descedig colon measres 67*42*38 mm with focal liver lesion in rt lobe show adeno carcinoma with necrosis?

Colon mass: Cheryl, this is difficult to answer. If you have a biopsy diagnosis of colorectal carcinoma, then the liver lesion may represent a metastasis. It could also represent only a liver hemangioma. Only a liver biopsy of the lesion is definitive. Red cell tagging studies sometimes can be definitive noninvasive study for liver hemangioma but does not have 100% sensitivity and may give false negative. ...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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Elevated lipase/amylase, no gallbladder, mrcp no infl of pancreas, liver lesion, not a drinker/smoker, only 32, was taking asacol (mesalamine) hd/colazal, opinion?

Elevated lipase/amylase, no gallbladder, mrcp no infl of pancreas, liver lesion, not a drinker/smoker, only 32, was taking asacol (mesalamine) hd/colazal, opinion?

See GI doctor: Its not clear whether you have pain / pancreatitis or how high your levels are. There's a lot of causes of pancreatitis including medicational side effect but it is best to have a GI doctor review your labs / imaging first. ...Read more

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Multiple paraaortic lymph nodes, largest 12 mm, misty mesentery, 3 CM liver lesion; abdominal distention; decreased appetite, wt loss. Thoughts?

Multiple paraaortic lymph nodes, largest 12 mm, misty mesentery, 3 CM liver lesion; abdominal distention; decreased appetite, wt loss. Thoughts?

Need biopsy: Need a biopsy to rule out cancer of various types versus chronic infection. I would refer to Hem/Onc and GI to start with. The main question right now is which is easier to biopsy, the liver lesion or the paraaortic nodes?

Sorry you are suffering from this illness. Hopefully, it can be sorted out soon. ...Read more

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Can liver lesion with fatty liver be infection ?blood work normal upper belly pain an weakness .......

Can liver lesion with fatty liver   be infection   ?blood work normal upper belly pain an weakness    .......

Distinguish diseases: Distinguish fatty liver (steatosis) from fatty liver with abnormal liver tests (steatohepatitis). Best to start with a weight loss diet based on calorie and fat restriction, avoid alcohol, control diabetes & cholesterol (if present). Your doctor will likely want to monitor your labwork, image the liver, & rule out other diseases that can mimick the pattern of liver tests seen with fatty changes. ...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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Anyone know what is a hypodense lesion in the liver?

Anyone know what is a hypodense lesion in the liver?

Hypodense: Hypodense is a descriptive term used by radiologists to describe an abnormality in the liver seen on a ct scan. There is no other meaning, however, okay to review with your doc. Depending on any symptoms, abnormal blood tests, your other diagnoses, and your exam your doc may want to advise you on several possibilities, such as follow up image in 3 to 6 months, a biopsy, reassurance..... ...Read more

Dr. Scott Bolhack
802 doctors shared insights

Wounds (Definition)

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