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Old 10-12-2012, 08:02 AM   #1
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minor coarse ultrasound liver texture

that's what my second US report states.

liver is normal size with minor coarse ultrasound texture with no focal lesion.



does this sound like i have advanced beyond simple fatty liver? that's what my first US report had said 4 mnths ago - mild diffiused fatty liver

sounds like my liver is getting worse?

 
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Old 10-13-2012, 05:56 PM   #2
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Re: minor coarse ultrasound liver texture

How are your blood tests? Ultrasounds are very dependent on the machine, the technician and the radiologist reading the report,

 
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Old 10-14-2012, 03:58 PM   #3
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Re: minor coarse ultrasound liver texture

Hi forehand.

One doctor once told me, fatty liver diagnosis from radiologist is not accurate, one radiologist can see lot of fat on the ultrasound machine other radiologist could see little fat on your liver ultrasound.

You can have fatty liver of course, cause it shows up on ultrasound, but how much fat, i'm affraid is not accurate on ultrasound machines. That's why most doctors also request blood test of ALT, AST, GGT liver enzymes. If those ones are on normal levels, that means currently your liver is not inflamed, it has some fat on it but is not inflamed, doctors are more concerned when your liver is inflamed cause then is when damaged start to occur and NASH begins and if not taken care on time cirrhosis could develop later.

The concern is don't allow your liver to become inflamed, it could be fatty yes, but don't let it get inflamed and you will be Ok. The only way to find out if liver is inflamed or not is with blood test of liver enzymes. You should take one every 6 months and change life style like no more drinks, fatty foods, sugars, etc.

 
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Old 10-14-2012, 05:03 PM   #4
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Re: minor coarse ultrasound liver texture

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Originally Posted by shersita View Post
Hi forehand.

One doctor once told me, fatty liver diagnosis from radiologist is not accurate, one radiologist can see lot of fat on the ultrasound machine other radiologist could see little fat on your liver ultrasound.

You can have fatty liver of course, cause it shows up on ultrasound, but how much fat, i'm affraid is not accurate on ultrasound machines. That's why most doctors also request blood test of ALT, AST, GGT liver enzymes. If those ones are on normal levels, that means currently your liver is not inflamed, it has some fat on it but is not inflamed, doctors are more concerned when your liver is inflamed cause then is when damaged start to occur and NASH begins and if not taken care on time cirrhosis could develop later.

The concern is don't allow your liver to become inflamed, it could be fatty yes, but don't let it get inflamed and you will be Ok. The only way to find out if liver is inflamed or not is with blood test of liver enzymes. You should take one every 6 months and change life style like no more drinks, fatty foods, sugars, etc.
YES I have also found this to be very true. Believe me, you can have 3 ultrasounds in the same day and get 3 totally different reports.
The important things here are: your spleen is not enlarged since it wasn't meant ironed, no ascites were noticed, no regenerative nodules, no Murphy's Sign, no dilation of bilary tree. All those things point to chirrosis. I wouldn't go crazy over this especially if your labs are normal. Try to lead a healthy lifestyle.

Btw, today's high frequency ultrasounds (if done at a good hospital) are very good at picking up micro-nodules.

 
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Old 10-14-2012, 06:44 PM   #5
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Re: minor coarse ultrasound liver texture

thanks for your replies.

my liver numbers are within normal range.

i was hoping for "all clear" on my second test, as i quit drinking (for the last six months) and TRIED to eat healthy.

the report sounded like i was getting worse, although my GP never called me for an appointment, after the second test. i asked receptionist to fax me the test results.

i will make an appointment to talk to my GP to see if i'm getting better or worse.

will let u know

thanks

 
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Old 10-14-2012, 07:09 PM   #6
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Re: minor coarse ultrasound liver texture

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Originally Posted by forehand36 View Post
thanks for your replies.

my liver numbers are within normal range.

i was hoping for "all clear" on my second test, as i quit drinking (for the last six months) and TRIED to eat healthy.

the report sounded like i was getting worse, although my GP never called me for an appointment, after the second test. i asked receptionist to fax me the test results.

i will make an appointment to talk to my GP to see if i'm getting better or worse.

will let u know

thanks
Please let us know what your GP says. I'm sure if he thought there was a problem you would have gotten a call.

 
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Old 10-15-2012, 07:55 PM   #7
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Re: minor coarse ultrasound liver texture

Keep going with the healthy life style Forehand36.

You said blood test of liver enzymes are Ok, that's means currently your liver is not inflamed (that's very good news). Blood test of liver enzymes is not a diagnosed, which means we cannot know if our livers already have some sort of damaged from the past, blood test is for current situation of the liver but it doesn't reflect old damaged that is there.

The good news is, liver is a very powerfull organ and even with some damaged of tissue it can continue working nicely for several years (or for life if be keep monitoring liver enzymes and taking care of our health).

Doctors usually don't show any concern about fatty liver on ultrasound if liver enzymes are ok, since if the liver is not inflamed it won't continue to get damaged, so probably that's why your doctor didn't call you for an appointment.

But, to ease your mind you can visit your doctor for any further questions, he probably will explain to you to change life style and won't show any concern since your liver enzymes still on normal range.

Luck.

 
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Old 04-09-2013, 08:30 PM   #8
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Re: minor coarse ultrasound liver texture

Quote:
Originally Posted by forehand36 View Post
thanks for your replies.

my liver numbers are within normal range.

i was hoping for "all clear" on my second test, as i quit drinking (for the last six months) and TRIED to eat healthy.

the report sounded like i was getting worse, although my GP never called me for an appointment, after the second test. i asked receptionist to fax me the test results.

i will make an appointment to talk to my GP to see if i'm getting better or worse.

will let u know

thanks
Forehand how is your liver doing?

 
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