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Old 11-24-2011, 01:37 PM   #1
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LET517 HB User
Question Need some help with ultrasound results

Hi, I am new here and need some help. A little history.....I have had upper right and upper middle absominal pain for about 15 years. I have had several endoscopes and ultrasounds. Nothing ever really showed. 3 years ago ago I was told I had a simple cyst on my liver. About 2 weeks ago I had severe pain in my right side and back and when the severe stabbing pain subsided I was left with a dull ache in my upper right abdomen just below my rib cage. I went for another ultrasound because the pain did not go away and I get stabbing pains 3-4 times a day. The ultrasound showed several issues. I do have gallstones and sludge. I have a small angiomylopimoa on my left kidney. It also says.....several complex cystic lesions within the right hepatic lobe with peripheral hypoechogenicity, compatible with complex cystic lesions. Further evaluation is recommended with CT or MRI. In another part of the report it says the size of the lesions, within the right hepatic lobe there is a 1.1x0.9x0.7cm predominantly cystic lesion with peripheral hyper echogenicity with internal septation and mild posterior acoustic enhancement. Similar lesion is seen in the right hepatic lobe more laterally 1.4x1.1x1.0cm and a smaller 0.6x0.5x0.5cm lesion is seen more medially in the right hepatic lobe. I am going for an MRI/MRCP next Friday. I wish I didn't have to wait so long but that was the soonest they could take me. Does anyone have any idea what this report means. It sounds kind of scarey. Does it sound like cancer? I am concerned because they say several complex lesions. That just doesn't sound good to me. Sorry for the long winded post, it was a long report. Any feedback would be greatly appreciated as I will not know anything for over a week. Thanks.

Lynda

 
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Old 11-24-2011, 09:40 PM   #2
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BillinSD HB UserBillinSD HB UserBillinSD HB UserBillinSD HB UserBillinSD HB UserBillinSD HB UserBillinSD HB UserBillinSD HB UserBillinSD HB UserBillinSD HB User
Re: Need some help with ultrasound results

I am NOT a doctor, but cystic lesions are usually fluid filled and produce the "hypo" echogenic echo described in the report. Cancer is usually described as a "solid" lesion, and I would think the radiologist would have mentioned the possibility of a "neoplasm" (cancer) if he thought he saw something that might be suspicious for cancer.

The "complex" cystic lesions simply means the cysts have multiple chambers, like soap bubbles grouped together one on top of the other.

If you've got stones, they may offer/recommend removal of the gall bladder. This would be an outpatient "laparoscopic" procedure, and they could probably pop all those little cysts while they were there.

Best not to get too worked up about things until you have the further testing. This should rule out a solid tumor, and you might even be able to wait and see if things quiet down without surgery.

Best of luck to you!

Last edited by BillinSD; 11-24-2011 at 09:46 PM. Reason: addition

 
Old 11-24-2011, 10:10 PM   #3
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Re: Need some help with ultrasound results

Thank you so much for the reply. It did somewhat calm me down. Darn google is making me crazy!

Last edited by LET517; 11-24-2011 at 10:11 PM.

 
Old 11-30-2011, 03:11 AM   #4
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Re: Need some help with ultrasound results

I had a very similar ultra sound result. I went to see a specialist and had an MRI.
Got the results today and he said I have Biliary Hematoma. They are not cancerous but they do cover my whole liver. He said I could have a biopsy but he is against them as they can be very dangerous so is just going to moniter me with regular bloods.

Just keep calm and off google as it did my head it too.

 
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