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What Does "Mildly Coarsened Hepatic Parenchymal Echotexture" Mean?
Question: I had an abdominal ultra sound and it showed Mildly coarsened hepatic parenchymal echotexture. I am assuming this is of the liver? All blood work is normal. What does this mean?
ultra sound report says:
APPT BY PT...MEDICARE
US ABDOMEN COMPLETE 76700
ACCESSION NUMBER 0000 11/17/2014 10:00 AM
INDICATION: Abdominal pain
COMPARISON: 6/19/9
FINDINGS:
LIVER:
Size: Normal, 14.2 cm.
Echogenicity: Mildly coarsened
BILE DUCTS: Intrahepatic and extrahepatic bile ducts are nondilated;
Common bile duct measures 0.5 cm
GALLBLADDER: No shadowing calculi, wall thickening or pericholecystic
fluid. No sonographic Murphy's sign per technologist
PANCREAS: Normal
RIGHT KIDNEY: Measures 9.7 x 5.8 x 4.3 cm. No hydronephrosis, solid or
cystic masses, shadowing calculi or perinephric fluid.
LEFT KIDNEY: Measures 10.0 x 5.8 x 5.5 cm. No hydronephrosis, solid or
cystic masses, shadowing calculi or perinephric fluid.
SPLEEN: Measures 6.0 x 2.5 x 3.1 cm. Homogeneous echotexture.
AORTA AND INFERIOR VENA CAVA: Imaged portions are normal
OTHER: There is no upper abdominal ascites.
IMPRESSION
IMPRESSION:
1. Mildly coarsened hepatic parenchymal echotexture, nonspecific.
2. No acute abnormalities seen.
ultra sound report says:
APPT BY PT...MEDICARE
US ABDOMEN COMPLETE 76700
ACCESSION NUMBER 0000 11/17/2014 10:00 AM
INDICATION: Abdominal pain
COMPARISON: 6/19/9
FINDINGS:
LIVER:
Size: Normal, 14.2 cm.
Echogenicity: Mildly coarsened
BILE DUCTS: Intrahepatic and extrahepatic bile ducts are nondilated;
Common bile duct measures 0.5 cm
GALLBLADDER: No shadowing calculi, wall thickening or pericholecystic
fluid. No sonographic Murphy's sign per technologist
PANCREAS: Normal
RIGHT KIDNEY: Measures 9.7 x 5.8 x 4.3 cm. No hydronephrosis, solid or
cystic masses, shadowing calculi or perinephric fluid.
LEFT KIDNEY: Measures 10.0 x 5.8 x 5.5 cm. No hydronephrosis, solid or
cystic masses, shadowing calculi or perinephric fluid.
SPLEEN: Measures 6.0 x 2.5 x 3.1 cm. Homogeneous echotexture.
AORTA AND INFERIOR VENA CAVA: Imaged portions are normal
OTHER: There is no upper abdominal ascites.
IMPRESSION
IMPRESSION:
1. Mildly coarsened hepatic parenchymal echotexture, nonspecific.
2. No acute abnormalities seen.
Brief Answer:
Mild coarse echoetexture of liver can be normally seen.
Detailed Answer:
Hello XXXX
Coarse echotexture of liver is generally due to liver parenchymal disease. Normal echotexture of liver is homogeneous in nature.
However, mild coarse echo texture of liver can be seen in normal patients. In these conditions, it needs clinical correlation and blood tests.
It is good that blood tests and other findings are normal,so findings can be assumed as normal.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Mild coarse echoetexture of liver can be normally seen.
Detailed Answer:
Hello XXXX
Coarse echotexture of liver is generally due to liver parenchymal disease. Normal echotexture of liver is homogeneous in nature.
However, mild coarse echo texture of liver can be seen in normal patients. In these conditions, it needs clinical correlation and blood tests.
It is good that blood tests and other findings are normal,so findings can be assumed as normal.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Dear Dr. Kumar/Bhushan,
Thank you very much for your reply. It was very helpful.
The only question I have remaining is do you feel I should follow up with a Gastroenterologist? Does the Radiologist make this recommendation typically or the primary physician?
Kindest regards,
XXXXX
Thank you very much for your reply. It was very helpful.
The only question I have remaining is do you feel I should follow up with a Gastroenterologist? Does the Radiologist make this recommendation typically or the primary physician?
Kindest regards,
XXXXX
Brief Answer:
No urgency
Detailed Answer:
Hello XXXX
I don't think there is urgency to consult gastroenterologist since blood reports and clinical findings are normal.
Comment of mild coarse echotexture of liver is a subjective assessment and there are chances of variation.
You can discuss it with your physician.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
No urgency
Detailed Answer:
Hello XXXX
I don't think there is urgency to consult gastroenterologist since blood reports and clinical findings are normal.
Comment of mild coarse echotexture of liver is a subjective assessment and there are chances of variation.
You can discuss it with your physician.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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