Lesion on ultrasound not on MRI??? - Liver & Pancreas Disorders Message Board

donna70 · 08-24-2007, 04:04 PM

Hi,
I am dazed and confused just had an ultrasound of my kidneys to follow up cyst on right kidney which lighted up on an MRI in April. Now they say simple cyst on kidney but they note that the liver lesion is still there that was seen on an ultrasound of the abdomen at about the same time as the CT and MRI but on that MRI they ruled out liver lesion said none seen. So now they say the liver lesion is slightly bigger 4 cm and this was not demonstrated on that MRI as a distinct structure and will review the MRI again. Help!! I asked for my own reports because I want to know what they say. Liver is not fatty, so no fatty sparing. On the original CT revision said it resembled liver tissue but did not have the central scar, but then again nothing seen on the MRI that followed but now on this new ultrasound showing a slightly larger version of the lesion. Does anyone make any sense of this? hoping it is just tissue, so far my dr has not called me and the radiologist said he was just going to review the old MRI. just want to know is an ultrasound more accurate than an MRI? thanks for any input.

ladyj2 · 08-25-2007, 09:39 AM

HI,
Wow, I can see why you are confused! I can tell you that Ultra sounds are not as accurate as MRI's. I use the U/S to monitor my lesion and the sizes will vary because it is a person doing the measurements. Everyone is going to measure it a little differently. My lesion is never the same size. I also had both my CT and MRI with a contrast dye....did you? I don't think my lesion would show up without it. I probably have FNH and just have periodic U/S to monitor the growth.

donna70 · 08-27-2007, 06:45 AM

Hi,
Thanks for your input, mine is a solitary lesion but I did have contrast on the MRI which did not visualize it, just wish my internist would call me and say not to worry. so guess not to worry till the dr says to worry. Did not like getting the contrast about 2-3 wks later developed a sudden allergy to certain foods and now have to carry an epi pen but the drs say the gadolinium had nothing to do with that. take care!!
Donna70

ladyj2 · 08-28-2007, 10:30 PM

e]h, I hated that dye too. I kicked and screamed and cried when they injected me. That's why I am so happy just getting US to monitor the lesion even though it's not as accurate. It's quite baffling that it doesn't show up on the MRI. Mine is in an odd spot, sometimes hard to see. The last US the girl spent like 20 min on me and couldn't find it. She had to get a previous US to see where it was located. PLease post again and let us know how things turn out.

feelbad · 08-30-2007, 07:11 AM

just an FYI here but if that 'lesion' is actually a hemangioma,it would not light up with contrast since it is made up of venous vessels and not arterial.i too really don't understand why a lesion that large would not actually show itself in some way shape or form upon MRI either.you DO most definitely need to start gathering up ALL of your medical records including all testing and the docs clinic notes too.you just need to read thru this stuff to really know for sure what is and is not in them.this also helps give you a better indication of just what your docs impressions are of your overall condition since this is what clinic notes actually are.you can do this all over the phone just by calling all and any place that has layed hands on you or tested something.its just the best possible way to stay fully imformed on your health/medical conditions.hopefully this is not anything major.please keep us posted.Marcia