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Is Mild Hepatomegaly A Cause For Concern When The Liver, Spleen, Gallbladder And Pancreas Have Normal Readings?
Dear Sir Following is the report of ultrasound what my wife has gone through Report ABDOMEN:Liver - Mild hepatomegaly with normal echopattern . Gall Bladder - Normal.C.B.D - Normal.Portal Vein - Normal.Pancreas - Normal in size and echopattern.Spleen - Normal in size and echopattern.Kidneys - RK - 9.5 cm. LK - 10.9 cm. Both the Kidneys are normal in size and echopattern. No evidence of calculus or hydronephros is seen. Corticomedullarydifferentiation is maintained. Urinary Bladder-Distended with anechoic lumen,normal wall thickness & insignificant residual urine.No evidence of Ascites or lymphadenopathy seen.Uterus - Operated. Ovaries - Operated. IMPRESSION: MILD HEPATOMEGALY . Apart from that She has has also done her lipid profile Report Run Date : 14/AUG/2017 -------------------------------- DEPARTMENT OF PATHOLOGY -------------------------------- Page 1 of 1 MR No: MR/05/318098 Name : RASHMI SHARMA Age : 39Yr Sex : F Ward : Room : Bed : FASTING BLOOD GLUCOSE 106 Serum Cholesterol 181.4 Serum Triglyceride 103.8 HDL Cholesterol 46.3 VLDL Cholesterol 20.76 LDL Cholesterol 114.34 Cholesterol HDL Ratio 3.92 Total Bilirubin 0.47 Direct Bilirubin 0.22 Indirect Bilirubin .25 ALT 14.5 AST 22.2 ALP 79.0 Serum Creatinine 0.9 Please suggest sir. Regards
Tue, 26 Mar 2019
Hi,
Mild hepatomegaly with normal echopattern, without additional findings, generally has no clinical significance. Most common reasons for this situation: (1) measurement error, (2) variation of normal, (3) mild hepatic steatosis.
(1) Measurement error: Size of liver should be measured from midclavicular line and during ultrasound it is not always easy to make it right through midclavicular line and take the right measurement. So if ultrasound probe was a little lateral to the midclavicular line that may cause a false result.
(2) Variation of normal: It is a very common reason for mild hepatomegaly. Normal upper limit for liver size is considered 15.5-16 cm but that means %90 of healthy population have this upper limit. So if there is no additional findings, mild hepatomegaly can be just normal.
(3) Mild hepatic steatosis: If there is mild fatty liver, radiologist may not detect it and echopattern can be reported normal. Fatty liver is also a mild hepatomegaly reason.
I can say blood tests about liver seems normal. So I would not suggest additional finding just for this finding. Fasting blood glucose would be better below 100, I suggest exercises or walking at least 30 minutes a day and at least 3 days a week. After 6 months a control ultrasound and blood test would be enough.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Hamza Eren Guzel,
Radiologist
Mild hepatomegaly with normal echopattern, without additional findings, generally has no clinical significance. Most common reasons for this situation: (1) measurement error, (2) variation of normal, (3) mild hepatic steatosis.
(1) Measurement error: Size of liver should be measured from midclavicular line and during ultrasound it is not always easy to make it right through midclavicular line and take the right measurement. So if ultrasound probe was a little lateral to the midclavicular line that may cause a false result.
(2) Variation of normal: It is a very common reason for mild hepatomegaly. Normal upper limit for liver size is considered 15.5-16 cm but that means %90 of healthy population have this upper limit. So if there is no additional findings, mild hepatomegaly can be just normal.
(3) Mild hepatic steatosis: If there is mild fatty liver, radiologist may not detect it and echopattern can be reported normal. Fatty liver is also a mild hepatomegaly reason.
I can say blood tests about liver seems normal. So I would not suggest additional finding just for this finding. Fasting blood glucose would be better below 100, I suggest exercises or walking at least 30 minutes a day and at least 3 days a week. After 6 months a control ultrasound and blood test would be enough.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Hamza Eren Guzel,
Radiologist
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