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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain, Spasms, Fatty Liver, Posterior Cyst. Done CT Scan . What Treatment Is Recommended?

I am a 59 year old female. I started having sudden pain all across my abdomen last Wednesday the pain was worse on my right side that felt like spams, went to my Dr . on Friday he ordered blood work and a abdominal ultrasound on Monday. The results from ultrasound showed I have fatty liver infiltration and a Anechoic posterior cyst measuring 3.8x2.9x5 cm all other organs and ducts showed normal. My Doctor is having me follow up with a CT scan to confirm findings. My question is this........is this considered a very large cyst and also there is no involvement with the ducts why am I having the pain and what will be the most likely treatment? Thank you so much for your information and time. Marian B
Mon, 10 Jun 2013
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Radiologist,  's  Response
Hi Mariam,
Thanks for writing in.
I am particularly unable to comprehend the anechoic posterior cyst mentioned by you. By anechoic, it is taken as a fluid filled cyst. By measurements, 3.8x2.9x5 cm is not a big cyst but not small enough and may be the cause of your pain.
A CT scan would be of much more help to characterise the cyst and offer you accurate treatment options.
The fatty liver is not a serious finding and needs to be correlated with liver function tests.
Take care.
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Abdominal Pain, Spasms, Fatty Liver, Posterior Cyst. Done CT Scan . What Treatment Is Recommended?

Hi Mariam, Thanks for writing in. I am particularly unable to comprehend the anechoic posterior cyst mentioned by you. By anechoic, it is taken as a fluid filled cyst. By measurements, 3.8x2.9x5 cm is not a big cyst but not small enough and may be the cause of your pain. A CT scan would be of much more help to characterise the cyst and offer you accurate treatment options. The fatty liver is not a serious finding and needs to be correlated with liver function tests. Take care.