8 doctors weighed in:
36 year old male with a 2 CM echogenic focus in the liver on routine abdominal ultrasound. What does it mean and should I be worried?
8 doctors weighed in

Dr. Bahman Daneshfar
Radiation Oncology
6 doctors agree
In brief: Several things
Hyperechoic means its more dense and hypoechoic is less dense.
Each could mean different possibilities. The radiologists report should indicate these possibilities and recommended other tests such as ct or mri. Do as the report suggests. Possibilities don't have to be bad, such as cysts or hemangioma. But if there is concern for a mass further test and biopsy may be needed.

In brief: Several things
Hyperechoic means its more dense and hypoechoic is less dense.
Each could mean different possibilities. The radiologists report should indicate these possibilities and recommended other tests such as ct or mri. Do as the report suggests. Possibilities don't have to be bad, such as cysts or hemangioma. But if there is concern for a mass further test and biopsy may be needed.
Dr. Bahman Daneshfar
Dr. Bahman Daneshfar
Thank
Dr. Arthur Heller
Internal Medicine - Gastroenterology
4 doctors agree
In brief: Need more tests
Often hard to tell exactly what things are on sono, a good screening exam. Ct or MRI can give additional very useful info.
2 CM is sizable (almost an inch) and needs to be evaluated. It may truly be a cyst, clump of blood vessels (hemangioma), or tumor (benign or malignant). History of hepatitis, meds, other drugs, occupational exposure, etc. All play a role.

In brief: Need more tests
Often hard to tell exactly what things are on sono, a good screening exam. Ct or MRI can give additional very useful info.
2 CM is sizable (almost an inch) and needs to be evaluated. It may truly be a cyst, clump of blood vessels (hemangioma), or tumor (benign or malignant). History of hepatitis, meds, other drugs, occupational exposure, etc. All play a role.
Dr. Arthur Heller
Dr. Arthur Heller
Thank
1 comment
Dr. Arthur Heller
? contrast enhanced CT? No biopsy without MRI scan (with gadolinium) to make sure this is or is not a hemangioma. Don't want to biopsy a hemangioma=risk of massive bleeding. Imaging can help tell difference between adenoma, hemangioma, focal nodular hyperplasia (doubtful in men (steroid user?), more with birth control pill, Bloods like AFP, hepatitis serologies helpful. Talk to GI or liver sp
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