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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Ultrasound Scan Finding Indicate?

My sonogram had the following findings: Hepatic parenchyma is echogenic without a discrete mass. Impression was: 1)No biliary dilation postcholecystectomy. 2) No hepatic mass. 3) Slightly heterogeneous appearing pancreatic head on sonography. Consider correlation with contrast-enhanced cross-sectional imaging either CT or MR. Correlation with pancreatic enzymes is recommended as well. What does all this mean? Cancer?
Mon, 2 Nov 2015
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
The ultrasound report suggests the following:
1. You had an operation for gall stones and post operation your liver and biliary tract is normal.
2. However, there is a lesion seen in head of the pancreas which needs to be investigated further.
The lesion could be due to inflammation of pancreatic head following operation or infection. Cancer could be a possibility, but to be kept as last option.
Kindly get the pancreatic enzymes in blood tested namely Amylase and Lipase along with CT scan as suggested. This will give a proper picture what it could be.
You may consult Surgeon after investigations for appropriate management.
Hope the information provided would be helpful.
All the best.
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What Does This Ultrasound Scan Finding Indicate?

Hi, Thanks for posting in HCM. I understand your concern. The ultrasound report suggests the following: 1. You had an operation for gall stones and post operation your liver and biliary tract is normal. 2. However, there is a lesion seen in head of the pancreas which needs to be investigated further. The lesion could be due to inflammation of pancreatic head following operation or infection. Cancer could be a possibility, but to be kept as last option. Kindly get the pancreatic enzymes in blood tested namely Amylase and Lipase along with CT scan as suggested. This will give a proper picture what it could be. You may consult Surgeon after investigations for appropriate management. Hope the information provided would be helpful. All the best.