Vascular Anomaly in caudate lobe of liver.

[ajithjp]

I have been following this forum for several months now and this is my first post. I have found the advice and support for other people very helpful. After presenting to A&E with chest pains 18 months ago (turned out to be acid reflex) they incidentally found that my liver function was slightly elevated, rest all normal. I dont drink or smoke, weight 67 which is middle green on bmi, Had battery of tests since - monitoring LFTs every 4 months- ALT(variable, up and down, GGT steadily up), no symptoms whatsoever other than the very occasional tummy irritation, checked for Hep B&C, autoimmune conditions, coagulation screen, cealiac screen, pancreas, all bloods, diabetes, heamochrom incl genotyping, iron loading, everything, all normal except ALT which ranges between normal and 65 and GGT which now is in high 400s. Gastroscopy normal, Ultrasound scan normal, fibroscan 7.4 Kpa,  no organ enlargement or ascitis, no clinical symptoms at all, except occasional contact dermatitis on hands, working full time 50 hrs a week, MRI with contrast shows a 7mm isointense area with under perfusion in the caudate lobe, ? vascular anomaly, have been referred to MDT and awaiting further advice. Has anyone come across such a situation, starring to get depressed now. Doctors seem to not want to discuss further with me.

[Bolly]

7mm isointense area with under perfusion in the caudate lobe - can you translate please, lol!

It seems the caudate lobe is a little lobe of the liver between the main left and right lobes, fairly near your 'vena cava' which is a large vein carrying deoxygenated blood into the heart and perhaps a tricky area to have a 'vascula anomaly' which i guess means something up with a vein/blood supply.  

Isointense is jargon used by radiographers, it means "the same intensity" - If an abnormality is the same intensity as the organ being scanned it is described as isointense.  

[ajithjp in reply to Bolly]

Thats the wording in the letter i was sent. I also asked for a translation, still in the dark, unable to lol though as its depressing. It seems I have to wait until MDT have met and discussed it. Hopefully will get some answers soon.

[Bolly in reply to ajithjp]

With all the tests and checks you list above it sounds like the docs are being thorough with checking out whatever symptoms you presented with that triggered the MRI etc.

It sounds like the letter was written by a radiologist to a doctor, hence the med speak.  None of us here are medically trained, so can only hazard a guess as to what the jargon means.

MDT teams usually meet every week, so hopefully you will get some feedback pretty soon.

[ajithjp]

A month and week has passed, apparently MDT have not yet met to discuss my case. Tried ringing, GP rang them, still no progress, very frustrating and worrying.