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What Does The Following Liver Function Test Report Indicate?
Question: I am 51 years old, diabletic (2002); HTN on Ramistar 5 mg, Glucoryl MV2 (twice daily) Rusufit 10 (Rosuvastatin and clopidegral 75 mg), and diaprime. Weight 59 kgs and height 170 cm. I AM NON-ALCHOLIC My Todays ultrasould abdomen says (
Liver is normal in its size (144 mm) and shows increased echtexture. A small ill defined hypoechoic lesion of 15 x 14 mm in the right lobe of liver adjacent to the gall bladder fossa. There is no suggestion of either intra or extra hepatic bilary duct dilatatation and CBD and porteal vein are normal. Impression: Likely focal fat sparing. I undersand from the report Have Fatty Lever Grade I, and Non alchoholic fatty lever diesease with fatty sparings on the lever/ Please suggest the future course of action, diet and further investigations and how serious is this condition.
Liver is normal in its size (144 mm) and shows increased echtexture. A small ill defined hypoechoic lesion of 15 x 14 mm in the right lobe of liver adjacent to the gall bladder fossa. There is no suggestion of either intra or extra hepatic bilary duct dilatatation and CBD and porteal vein are normal. Impression: Likely focal fat sparing. I undersand from the report Have Fatty Lever Grade I, and Non alchoholic fatty lever diesease with fatty sparings on the lever/ Please suggest the future course of action, diet and further investigations and how serious is this condition.
Brief Answer:
Need a Ct csan
Detailed Answer:
Hello,
I have gone through your description.
I would advise you to get the following tests done
Tests for hepatitis B and C
A triple phase CT of the abdomen. Along with AFP.
This will help to characterize and find the cause of the liver lesion. We can decide on the further line of management once you get these tests done.
Please write back with the reports to discuss on further line of management.
Hope this helps. Do get back in case of further queries.
Regards
Dr Samir Patil
Need a Ct csan
Detailed Answer:
Hello,
I have gone through your description.
I would advise you to get the following tests done
Tests for hepatitis B and C
A triple phase CT of the abdomen. Along with AFP.
This will help to characterize and find the cause of the liver lesion. We can decide on the further line of management once you get these tests done.
Please write back with the reports to discuss on further line of management.
Hope this helps. Do get back in case of further queries.
Regards
Dr Samir Patil
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Dear Dr
As I advised I have under gone the susggested tests. The results are:
1. Alfa feto protein (AFP 2.25 ng/mL Normal range 0-7 ng/mL
2. Serum creatinine - 0.6 Normal range 0.7-1.2 mg/dL
3, BHSAG Non reatice (0.06)
4. Hepatitis C antibodies (HCV) - Non Reactive (0.08)
Triphasial CT Scan
Mild diffuse fatty infiltration of lever
Fairly well difined ~1.5 x 1.6 cm hypodense area in the segment V of livr, adjacent to the gall bladder fossa, without abnormal contract enhancement - findings in keeping with focal fatty sparing
No focal lesions in gthe rest of liver parenchyma
No other significant intraabdonominal or pelic pathology.
Incidental few small bullae in the bilateral lung bases
All other systems are normal
Please adise on focal fatty sparing and follow up
if any further investigation needed on small balles of lung bases consulting chest physician and doing CT of Chest???
As I advised I have under gone the susggested tests. The results are:
1. Alfa feto protein (AFP 2.25 ng/mL Normal range 0-7 ng/mL
2. Serum creatinine - 0.6 Normal range 0.7-1.2 mg/dL
3, BHSAG Non reatice (0.06)
4. Hepatitis C antibodies (HCV) - Non Reactive (0.08)
Triphasial CT Scan
Mild diffuse fatty infiltration of lever
Fairly well difined ~1.5 x 1.6 cm hypodense area in the segment V of livr, adjacent to the gall bladder fossa, without abnormal contract enhancement - findings in keeping with focal fatty sparing
No focal lesions in gthe rest of liver parenchyma
No other significant intraabdonominal or pelic pathology.
Incidental few small bullae in the bilateral lung bases
All other systems are normal
Please adise on focal fatty sparing and follow up
if any further investigation needed on small balles of lung bases consulting chest physician and doing CT of Chest???
Brief Answer:
no further treatment or ivestigations
Detailed Answer:
Hello,
You do not need any treatment for focal fatty sparing.it is a harmless condition. It means less fat deposition in that area of the liver.
The bullae seen in the lungs are not a cause for worry. You do not need a CT chest or a chest physician consult.
You do not need further investigations and need not worry about the liver lesion.
Hope this helps
Regards Dr Samir Patil
no further treatment or ivestigations
Detailed Answer:
Hello,
You do not need any treatment for focal fatty sparing.it is a harmless condition. It means less fat deposition in that area of the liver.
The bullae seen in the lungs are not a cause for worry. You do not need a CT chest or a chest physician consult.
You do not need further investigations and need not worry about the liver lesion.
Hope this helps
Regards Dr Samir Patil
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you very much. I have started taking more fiber food, less fats, and flax seed meal, salads. I do walk 6-8 a km a day in one sitting. XXXX
Brief Answer:
on the right track
Detailed Answer:
Hello,
It was my pleasure, wish you good health
Regards, Dr Samir Patil
on the right track
Detailed Answer:
Hello,
It was my pleasure, wish you good health
Regards, Dr Samir Patil
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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