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Diagnosed Fatty Liver, Two Focal Nodular Hyperplasia Tumors In Liver. Chronic Pain Radiating To Shoulder. Due To Tumor?
Hello. I have recently been diagnosed with a fatty liver/nash and 2 focal nodular hyperplasia tumours in and on my liver. Both of these tumours relate to the left love one of which is on the outside edge and measures 5cm. I suffer with ruq pain and also intermittent chronic pain in my left upper quadrant which occasionally radiates to my left shoulder. My question is could this pain on my left side be a result of the nash and tumours in my left liver lobe ? Many thanks. Shaq.
Thu, 24 Oct 2013
Welcome to health care magic!
I have read your question and found that you have a fatty liver with two focal nodular hyperplasias on left lobe. There is recurrent chronic pain in left upper quadrant, sometimes radiating to left shoulder.
From the report you have provided, I can say that your guess is right. The pain in your left shoulder is due to these tumors on the ouer edge of left lobe +/_ fatty liver.
I will try to expain it:- There is a nerve called : phrenic nerve, (right and left respectively) supplying the daiphragm and giving one assecory branch to respective shoulder joint. So, whenever the swellings of liver lobe/ or as it is already fatty, irritates the diaphragm (while breathjing etc.), there is pain in left qudrant and simultaneously pain in same sided shoulder. This kind of pain is known as "reffered pain", as there is no injury to shoulder per say!
Hope this answer helps solving your query
Please feel free to ask more questions
Dr. Manisha Gopal
I have read your question and found that you have a fatty liver with two focal nodular hyperplasias on left lobe. There is recurrent chronic pain in left upper quadrant, sometimes radiating to left shoulder.
From the report you have provided, I can say that your guess is right. The pain in your left shoulder is due to these tumors on the ouer edge of left lobe +/_ fatty liver.
I will try to expain it:- There is a nerve called : phrenic nerve, (right and left respectively) supplying the daiphragm and giving one assecory branch to respective shoulder joint. So, whenever the swellings of liver lobe/ or as it is already fatty, irritates the diaphragm (while breathjing etc.), there is pain in left qudrant and simultaneously pain in same sided shoulder. This kind of pain is known as "reffered pain", as there is no injury to shoulder per say!
Hope this answer helps solving your query
Please feel free to ask more questions
Dr. Manisha Gopal
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