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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Liver Ultrasound Test Result Indicate?

I m a 62 year old female, 5 6 and 150 lbs. I had a recent liver ultrasound and the impression is: Slight coarsening of the hepatic echotexture without intrahepatic biliary ductal dilatation or mass. I was diagnosed with Stage 2, Primary Biliary Cirrhosis about 12 years ago. I m taking Ursodiol and my liver function tests were in the normal range in January. I also have Scleroderma, Sjogrens, Raynauds, GERD and Osteoporosis. I eat a low fat, gluten-free and dairy-free diet, and very rarely have a glass of wine. When researching on-line, it appears the coarsening could be related to fatty liver or cirrhosis. What do the results appear to indicate?
Fri, 17 Apr 2020
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Internal Medicine Specialist 's  Response
Hello,

As per your history you have already been diagnosed with Primary Biliary Cirrhosis (on ursodiol) and a number of other autoimmune disorders (like Sjogren's, Scleroderma etc). GERD can occur as a result of Scleroderma.

PBC is a known cause for chronic liver disease which causes coarse hepatic echotexture on USG.

You would need to monitor the liver function tests including INR levels. I would suggest you to discuss with your gastroenterologist regarding a Transient Hepatic Elastography which can indicate the degree of liver fibrosis and damage.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Ayusmati Thakur
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What Does This Liver Ultrasound Test Result Indicate?

Hello, As per your history you have already been diagnosed with Primary Biliary Cirrhosis (on ursodiol) and a number of other autoimmune disorders (like Sjogren s, Scleroderma etc). GERD can occur as a result of Scleroderma. PBC is a known cause for chronic liver disease which causes coarse hepatic echotexture on USG. You would need to monitor the liver function tests including INR levels. I would suggest you to discuss with your gastroenterologist regarding a Transient Hepatic Elastography which can indicate the degree of liver fibrosis and damage. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Ayusmati Thakur