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Elevated ALT, Subcapsular Fluid Collection, Possibly A Hematoma. Metabolic Panel Test Normal. Advice?
Question: I have elevated ALT 65 and ALT 44, had a MRI of abdomen w/wo contrast there is a 4.6 cm transverse x 1.7 cm AP T1 and T2 hypointense lesion within the subcapsular aspect of the right lobe of liver, which does not demonstrate enhancement following contrast administration. Findings most likely represent a subcapsular fluid collection, possibly a hematoma. No suspicious finding identified. Recommend short term follow up to document stability. All other blood test on Comprehensive Metabolic Panel are normal, Hepatitus B -Nonreactive, Hepatitus C -Nonreactive, Anti-Smooth Muscle Antibody -Negative, Anti-Mitochondrial Antibody -Negative, Anti-Nuclear Antibodies -Negative.
Can the hematoma be causing the elevated ALT and AST ?
Can the hematoma be causing the elevated ALT and AST ?
Hi
Thanks for writing in
First concern would be to find out how did the hematoma occur, spontaneously or during gall bladder surgery [ Was the gall bladder surgery done laparoscopically ?]
If spontaneous you need to get a good evaluation done of your hemodynamic profile
If during surgery - the cause is known - treat conservatively if not increasing in size [Very unlikely to increase after one year of surgery]
With any intrahepatic insult the enzymes are raised - keep a watch and get repeated after three weeks, if they start increasing see a gastroentrologist
Hope this helps
Do write back in case of concern
Wishing you a healthy life ahead
Thanks for writing in
First concern would be to find out how did the hematoma occur, spontaneously or during gall bladder surgery [ Was the gall bladder surgery done laparoscopically ?]
If spontaneous you need to get a good evaluation done of your hemodynamic profile
If during surgery - the cause is known - treat conservatively if not increasing in size [Very unlikely to increase after one year of surgery]
With any intrahepatic insult the enzymes are raised - keep a watch and get repeated after three weeks, if they start increasing see a gastroentrologist
Hope this helps
Do write back in case of concern
Wishing you a healthy life ahead
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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