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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Side, Nausea, Vomiting. Scan Showed Lesions In Liver. Cause?

Hi, I have been suffering pain in my right side for the past few months together with a feeling of nausea and have had a few episodes of vomiting bile and severe pain in my side. I have had an ultrascan, a CT liver scan and am awaiting an MRI scan . My doctor has said that they have found 4 leasons on my liver and they need to investigate this further - can you tell me what the likely cause of this is please?
Mon, 11 Mar 2013
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Gastroenterologist, Surgical,  's  Response
Hi,
Thanks for writing in.
A double contrast CT of the abdomen will reveal whether the lesions are solid or cystic, vascular or avascular. This will lead to a clue as to whether they are benign or malignant in origin. If still the surgeon is unable to comment then a CT guided FNAC of the lesion will help in arriving at a diagnosis.MRI scanning is not so helpful in diagnosis of abdominal lesions. Since you have nausea or vomiting then there is a likelihood of the primary cause being in the upper GI tract. This can be investgated by upper GI endoscopy.
I hope this answers your querry.
Regards
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Pain In Side, Nausea, Vomiting. Scan Showed Lesions In Liver. Cause?

Hi, Thanks for writing in. A double contrast CT of the abdomen will reveal whether the lesions are solid or cystic, vascular or avascular. This will lead to a clue as to whether they are benign or malignant in origin. If still the surgeon is unable to comment then a CT guided FNAC of the lesion will help in arriving at a diagnosis.MRI scanning is not so helpful in diagnosis of abdominal lesions. Since you have nausea or vomiting then there is a likelihood of the primary cause being in the upper GI tract. This can be investgated by upper GI endoscopy. I hope this answers your querry. Regards