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What Does My Abdominal Ultrasound Scan Report Indicate?

Posted on Wed, 31 May 2017

Question: Hello Doctor,
i went for a repeat abdomen scan. would like to know your feedback on the results.

Here are the results of my abdomen ultrasound that I did yesterday.

ORDERING CLINICAL INFORMATION: Abdominal painÂ Â Â COMPARISON:Â US 10/11/2016Â Â Â TECHNIQUE:Â Real time grayscale ultrasound evaluation of theÂ Â abdomen.Â Â Â ABDOMINAL ULTRASOUND FINDINGS:Â Â LIVER:Â Â Â Size:Â 14.2 cmÂ Â Findings:Â Persistent mild and heterogeneously increasedÂ Â parenchymal echogenicity suggestive of underlying fattyÂ Â infiltration. No focal space-occupying intrahepatic lesionsÂ Â identified. No intrahepatic biliary dilation.Â Â Main Portal Vein:Â 1.0 cm phasic flow, hepatopetal flowÂ Â Â GALLBLADDER:Â Â Â Findings:Â UnremarkableÂ Â CBD measurement:Â 3 mmÂ Â Â PANCREAS:Â Â Â Findings:Â Visualized segment is unremarkable. Partially obscuredÂ Â by bowel gasÂ Â Â SPLEEN:Â Â Â Size:Â 9.7 cmÂ Â Findings:Â UnremarkableÂ Â Â RIGHT KIDNEY:Â Â Â Size:Â 10.3 cm Â Â Findings:Â UnremarkableÂ Â Â LEFT KIDNEY:Â Â Â Size:Â 10.7 cm Â Â Findings:Â UnremarkableÂ Â Â AORTA:Â UnremarkableÂ Â Â IVC:Â UnremarkableÂ Â Â MISCELLANEOUS:Â No free fluid or pleural effusions.Â Â Â Â Â Impression:Â IMPRESSION:Â Â Â Â Â 1. Persistent mild hepatic steatosis without focal intrahepaticÂ Â lesions.Â Â 2. Otherwise, unremarkable abdominal ultrasound study.
on October.
Sorry I just noticed the results was messed up earlier, Here is my abdomen ultrasound results.

ORDERING CLINICAL INFORMATION: Abdominal pain

COMPARISON: US 10/11/2016

TECHNIQUE: Real time grayscale ultrasound evaluation of the
abdomen.

ABDOMINAL ULTRASOUND FINDINGS:
LIVER:
Size: 14.2 cm
Findings: Persistent mild and heterogeneously increased
parenchymal echogenicity suggestive of underlying fatty
infiltration. No focal space-occupying intrahepatic lesions
identified. No intrahepatic biliary dilation.
Main Portal Vein: 1.0 cm phasic flow, hepatopetal flow

GALLBLADDER:
Findings: Unremarkable
CBD measurement: 3 mm

PANCREAS:
Findings: Visualized segment is unremarkable. Partially obscured
by bowel gas

SPLEEN:
Size: 9.7 cm
Findings: Unremarkable

RIGHT KIDNEY:
Size: 10.3 cm
Findings: Unremarkable

LEFT KIDNEY:
Size: 10.7 cm
Findings: Unremarkable

AORTA: Unremarkable

IVC: Unremarkable

MISCELLANEOUS: No free fluid or pleural effusions.

Impression:

IMPRESSION:

1. Persistent mild hepatic steatosis without focal intrahepatic
lesions.
2. Otherwise, unremarkable abdominal ultrasound study.

Answered by Dr. Grzegorz Stanko (29 minutes later)

Brief Answer:
Fatty liver.

Detailed Answer:
Hello.

Thank you for the query.

Your ultrasound report says that you have fatty liver. The rest is completely normal.
Fatty liver is caused by bad diet, obesity, frequent alcohol use. Luckily fatty liver is a reversible condition. Please try to modify your diet. Avoid fatty foods, spicy foods, fried foods, alcohol. You should also have cholesterole levels checked.

Hope this helps.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Grzegorz Stanko (16 minutes later)

Thanks for your reply, doc. I neither drink nor smoke. I reduced 10 pounds (I was 174 down to 164).

Also, I had an abdomen ultrasound 6 months before, at that time, the size of the liver was 18 cm and now it is 14.2 cm. Is it because of my weight loss and what is the ideal size of liver? Does liver size play an important role in determining fatty liver?

Answered by Dr. Grzegorz Stanko (1 hour later)

Brief Answer:
You are doing great.

Detailed Answer:
Than you are on good way to normalize your liver. It already has become smaller what is a very good information. Keep loosing weight (if possible).
There is no ideal liver size. And it is not that important. Lack of fat in the liver is much more important.
Healthy liver should not appear below the ribs.

Above answer was peer-reviewed by : Dr. Kampana