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previous alcohol use -need help understanding ultrasound

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Old 12-14-2012, 11:27 PM   #1
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previous alcohol use -need help understanding ultrasound

I posted in here a few months back about quitting alcohol and getting my liver checked out.

Well I got a blood test and my AST and ALT were great: 18 and 20 respectively. The only thing that was out of the normal range on my blood test was my bilirubin which was 1.4 (total) while direct was .3.
My platelets were also a little low but not outside the normal range: they were 169 (150-400 considered normal).

I was pretty happy with the blood test results, however the ultrasound revealed some other things that I wasn't quite sure what to make of.

The findings on the ultrasound were:
-Minimally heterogenous hepatic exhogenicity.
-Three small foci (1-1.3 cm in diameter) in the liver, most consistent with small hemangiomas in the liver
-mildly prominent common bile duct without intrahepatic biliary ductal dilation 5.7mm
-Splenomegaly (16cm in its greatest dimension)

My doctor seemed pretty optimistic about my ultrasound results, but there are still a few unanswered questions. My main concern is the enlarged spleen, I really don't have any explanation for this, no autoimmune diseases and I had not been sick any time leading up to the ultrasound.
I'm guessing the "Minimally heterogenous hepatic exhogenicity" means my liver has a slightly different echotexture?
It has been months since the tests and every once and a while I get a sharp pain in my upper left quadrant (I'm assuming that's likely because of my enlarged spleen).

I have drank alcohol on only 2 occasions in the past 6 months, both in relatively small amounts, but I have found my body can no longer tolerate alcohol. I just feel bad shortly after drinking (RUQ pain diarrhea etc.).
Medications seem to effect me differently now as well, I took 2 extra strength Tylenol the other day and I got a mild ache in my RUQ shortly after. I rarely ever take Tylenol and I know it is hard on the liver.

Can anyone shed light on the ultrasound or the splenomegaly?

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Old 12-20-2012, 07:38 PM   #2
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Re: previous alcohol use -need help understanding ultrasound

O' and I forgot to mention, the doctor told me my lymph nodes were slightly enlarged.

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