What Could Cause Pain In My Upper Right Abdomen Near The Ribs And Middle Back?

Question: I have pain in my upper right abdomen near ribs and pain in middle back when deep breath, what could it be?

Ok, let me clarify. I have had occasional pain in my upper right abdomen under the rib area that is sometimes dull and sometimes mildly sharp. Also, I have pain in my upper middle back, both sides, when I take a very deep breath and lean forward, don't know if they are related. I had an ultrasound that showed a sub-centimeter mass on my liver. So, I went for an MRI, with and without contract, and it revealed it was a benign cyst. I also have very regular indigestion, which I take Prilosec for. My bloodwork, urinalysis and stool show no signs of abnormalities. All these tests were completed around Oct, 2017. My questions are, could things have changed since those tests that showed nothing, or is that too short of a time for serious conditions to form. All of my symptoms have stayed the same essentially. I do enjoy drinking regularly, which is why I am concerned it has something to do with the liver or GI tract, but the MRI said everything was normal in size and signal. What could be causing this pain?

So the pain that I am feeling in my upper right abdomen does not feel like muscle/bone pain, but I am not saying it is not possible. It feels like a dull to sharp pain under my rib area that comes at completely random times. I am just worried it is something with my liver or pancreas maybe, that wasn't found in the MRI. What are the possibilities that the MRI results didn't show something wrong with my liver or pancreas? Could it be a fatty liver or anything that alcohol can result in. Below are the notes from my MRI.

Subcentimeter hepatic cyst/biliary hamartoma in segment VI, a benign entity, corresponding to the finding seen on prior sonography.

Subcentimeter splenic hemangioma at the dome of the spleen.

Tiny fat-containing umbilical hernia.

Narrative


History: Small hyperechoic lesions seen in the right hepatic lobe on prior abdominal sonography. History of right upper quadrant pain.

Procedure: MRI OF THE ABDOMEN WITH AND WITHOUT CONTRAST.

MRI of the abdomen was performed using multiplanar T1 and T2-weighted imaging including turbo spin-echo T2-weighted images with fat suppression, HASTE, chemical shift, DWI, as well as pre-and postcontrast 3-D VIBE sequences. 18 cc of Omniscan was administered intravenously. Comparison is made to the prior abdominal sonogram from 11/12/2017.

Findings: The liver is normal in size and signal. Within the posterior segment of the right hepatic lobe inferiorly there is a 5 mm ovoid high T2 signal, low T1 signal lesion which demonstrates no postcontrast enhancement, indicating a hepatic cyst/biliary hamartoma.

The spleen is not enlarged. At the dome of the spleen there is a subcentimeter ovoid high T2 signal lesion measuring 6 mm which demonstrates homogeneous postcontrast enhancement which is similar in signal on the interstitial and portal venous phases, most consistent with a splenic hemangioma. The pancreas is unremarkable. No cholelithiasis is present. No adrenal nodule is present. There is no hydronephrosis of either kidney.

Examination of the partially imaged bowel demonstrates no evidence of obstruction.

No lymphadenopathy is present.

There is no ascites.

The abdominal aorta is normal in caliber.

No pleural effusion is present. The heart is not enlarged.

There is a tiny fat-containing umbilical hernia.

Bone marrow signal is unremarkable.

Even though the results are from almost a year ago and I have been drinking about 4-5 drinks a night, most nights. Could things have changed? my symptoms are the same.