Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does The Following Ultrasound Report Indicate?
Question: Hi doctors. Just a day back I had an ultrasound done for my mother aged 60-65 and weighed about 60-70 kg. There the report shows she had an englarged liver of 159 mm (i.e, 15.9 cm). I found that a normal liver size for an adult female is 7 cm and considering this i do not doubt for enlargement of liver. However, further i read that liver enlargement would also depend on various factors like age, BMI etc., since i provided you her age and weight, is that a normal liver size for a person of her age?
I further found that enlargement of liver could be due to hepatatis. However, i remember some 4-6 yrs back there was a govt. initiative in my area where volunteers had come home and injected vaccination for hepatatis. That was a course for 3 months and in final month they gave an additional vaccination saying this would prevent from any type of hepatatis for atleast 10 yrs.
My ask is despite of taking vaccination is there's possibility that one would get affected by hepatatis?
Additional info - we also had liver function test done and that shows fine results without anything for concern. She's a non-alcoholic and non-smoker.
I would be pleased to provide any additional information as needed. Thanks !
I further found that enlargement of liver could be due to hepatatis. However, i remember some 4-6 yrs back there was a govt. initiative in my area where volunteers had come home and injected vaccination for hepatatis. That was a course for 3 months and in final month they gave an additional vaccination saying this would prevent from any type of hepatatis for atleast 10 yrs.
My ask is despite of taking vaccination is there's possibility that one would get affected by hepatatis?
Additional info - we also had liver function test done and that shows fine results without anything for concern. She's a non-alcoholic and non-smoker.
I would be pleased to provide any additional information as needed. Thanks !
Brief Answer:
Hepatomegaly
Detailed Answer:
Hello,
I can understand your doubts about your mother's USG report
1) 7cm of liver span is considered normal for pediatric age group. 11-13cm of liver span is considered normal for adult persons. For old age patients this will be around 10-12cm.
2) 15.9 (16)cm of liver span for 60 years old female female is considered as hepatomegaly. As you already know, this may be due to many reasons.
3) What about liver surface (rough/smooth), liver border (sharp/blunt) on USG abdomen? Did USG mention that liver is "Fatty liver"? Does your mother have right upper abdominal heaviness/discomfort? Answers to these questions are important to find appropriate cause for hepatomegaly.
4) You mentioned about vaccine. It is for prevention of hepatitis from Hepatitis-B virus only. There are number of causes which can cause hepatitis i.e. alcohol, hepatitis-C virus, severe fat infiltration etc.That vaccine would prevent hepatitis from Hepatitis-B virus only.
Hope I answered your query. If you have any further doubt, I would be happy to help you.
Have a nice day!
Hepatomegaly
Detailed Answer:
Hello,
I can understand your doubts about your mother's USG report
1) 7cm of liver span is considered normal for pediatric age group. 11-13cm of liver span is considered normal for adult persons. For old age patients this will be around 10-12cm.
2) 15.9 (16)cm of liver span for 60 years old female female is considered as hepatomegaly. As you already know, this may be due to many reasons.
3) What about liver surface (rough/smooth), liver border (sharp/blunt) on USG abdomen? Did USG mention that liver is "Fatty liver"? Does your mother have right upper abdominal heaviness/discomfort? Answers to these questions are important to find appropriate cause for hepatomegaly.
4) You mentioned about vaccine. It is for prevention of hepatitis from Hepatitis-B virus only. There are number of causes which can cause hepatitis i.e. alcohol, hepatitis-C virus, severe fat infiltration etc.That vaccine would prevent hepatitis from Hepatitis-B virus only.
Hope I answered your query. If you have any further doubt, I would be happy to help you.
Have a nice day!
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
Thank you doctor for your response. I have attached the USG and liver function test reports for further reference. I hope this would help you to comment better on my mother's condition. Once you examine the reports, please let me know if her condition is serious and would this be treated through medication. Thanks again!
Brief Answer:
fatty liver
Detailed Answer:
Hello,
I apologize for late reply.
1) No. There is no possibility of having hepatitis to you mother.
2) USG indicates grade-1 fatty liver i.e. fat deposition in liver tissue due to abnormal fat metabolism in liver or high amount of fat in blood. Grade-1 fatty liver is reversible condition.
3) Normal liver function test in background of grade-1 fatty liver suggest that liver function is not compromised.
4) I suggest her to do lipid profile test to check blood level of different cholesterols as fatty liver can occur in high level of cholesterol.
5) This condition can be reverted by intermittent fasting, regular exercise, high protein diet, low fat diet, use of omega-3 fatty acid containing oil for food preparation.
Hope I answered your query. If you have any further doubts, I would be happy to help you.
Have a good day!
fatty liver
Detailed Answer:
Hello,
I apologize for late reply.
1) No. There is no possibility of having hepatitis to you mother.
2) USG indicates grade-1 fatty liver i.e. fat deposition in liver tissue due to abnormal fat metabolism in liver or high amount of fat in blood. Grade-1 fatty liver is reversible condition.
3) Normal liver function test in background of grade-1 fatty liver suggest that liver function is not compromised.
4) I suggest her to do lipid profile test to check blood level of different cholesterols as fatty liver can occur in high level of cholesterol.
5) This condition can be reverted by intermittent fasting, regular exercise, high protein diet, low fat diet, use of omega-3 fatty acid containing oil for food preparation.
Hope I answered your query. If you have any further doubts, I would be happy to help you.
Have a good day!
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you so much, doctor. Your response relieved me I had lipid profile results as well and attaching here for your reference. Hope this helps you to suggest me .
Brief Answer:
lifestyle modification to revert fatty liver
Detailed Answer:
Hello,
I apologize for late reply.
Here I can read two attached files but none of them have results of lipid profile test.
If it is not done then you can plan it in future along with other investigation also as present treatment will not be decided on that values. Importance of that test is just to confirm the reason of fatty liver.
Otherwise, above mentioned lifestyle and diet related changes must be started to revert the fatty liver condition as much as possible. Here keep in mind that it is not possible to revert 100% normal liver tissue.
lifestyle modification to revert fatty liver
Detailed Answer:
Hello,
I apologize for late reply.
Here I can read two attached files but none of them have results of lipid profile test.
If it is not done then you can plan it in future along with other investigation also as present treatment will not be decided on that values. Importance of that test is just to confirm the reason of fatty liver.
Otherwise, above mentioned lifestyle and diet related changes must be started to revert the fatty liver condition as much as possible. Here keep in mind that it is not possible to revert 100% normal liver tissue.
Above answer was peer-reviewed by :
Dr. Remy Koshy
I am sorry doctor. I somehow attachted it yesterday bt that went missing. I did attach now.
I will certainly make sure that she start following the instructions you gave. Though another question is since you mention that restoring 100% of normal liver tissue may not be possible, is that something for furture concern? Thank you!
I will certainly make sure that she start following the instructions you gave. Though another question is since you mention that restoring 100% of normal liver tissue may not be possible, is that something for furture concern? Thank you!
Brief Answer:
marginally high value of triglyceride.
Detailed Answer:
Hello,
I apologize for late reply.
there will be no any future consequences upon not restoring to 100%.
Her triglyceride level is slightly elevated which might be associated with fatty liver.
along with above mentioned lifestyle and diet modifications she should be consulted by physician for marginal high level of triglycerides in blood.
marginally high value of triglyceride.
Detailed Answer:
Hello,
I apologize for late reply.
there will be no any future consequences upon not restoring to 100%.
Her triglyceride level is slightly elevated which might be associated with fatty liver.
along with above mentioned lifestyle and diet modifications she should be consulted by physician for marginal high level of triglycerides in blood.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
