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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Mild Hepatomegaly With Right Renal Parapelvic Simple Cyst Serious?

Is it necessary to see a GI doctor for a 1) mild hepatomegaly and focal fatty sparring seen in the right lobe and the portal hepatitis region with no focal solid lesion. And 2) right renal parapelvic simple cyst. it doesn t sound serious enough. Is it necessary to see a GI doctor?
Thu, 27 Nov 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in.

1. Mild hepatomegaly on ultrasound indicates that the size of your liver is more than 14.5 cms. The focal fatty sparing is not a concern. It is important to know why the liver is enlarged in size for you. This can be known after consulting a GI doctor if available. Even a general medicine specialist can be consulted. Your doctor might ask for certain liver function tests and enzyme levels.

The common liver enzymes are the following.
Aspartate aminotransferase (AST)
Alanine aminotransferase (ALT)
Alkaline phosphatase
Gamma glutamyl transpeptidase

tests like serum bilirubin direct and total will also have to be done depending on symptoms.

2. Right renal parapelvic simple cyst is not a concern if less than 3 cms in size. These are fluid filled thin walled balloon like structures and completely harmless in most people when small in size.
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Is Mild Hepatomegaly With Right Renal Parapelvic Simple Cyst Serious?

Hi, Thanks for writing in. 1. Mild hepatomegaly on ultrasound indicates that the size of your liver is more than 14.5 cms. The focal fatty sparing is not a concern. It is important to know why the liver is enlarged in size for you. This can be known after consulting a GI doctor if available. Even a general medicine specialist can be consulted. Your doctor might ask for certain liver function tests and enzyme levels. The common liver enzymes are the following. Aspartate aminotransferase (AST) Alanine aminotransferase (ALT) Alkaline phosphatase Gamma glutamyl transpeptidase tests like serum bilirubin direct and total will also have to be done depending on symptoms. 2. Right renal parapelvic simple cyst is not a concern if less than 3 cms in size. These are fluid filled thin walled balloon like structures and completely harmless in most people when small in size.