help understanding the jargon from ult... - British Liver Trust

British Liver Trust

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help understanding the jargon from ultrasound

Thumberlina
Thumberlina

Hi everyone, thanks for those who’ve offered advice and support this week to a newbie. It really does help you from assuming the worst.

I had my upper abdomen ultrasound today, arranged by myself after my GP told me there was nothing to worry about my bloods were fine. I went against the advice and booked this anyway for my own peace of mind.

The sonographer has recommended my doctor to carry out further investigation.

The comments on her report In summary were everything was normal with ducts and normal portal vein flow. Gallbladder etc all fine, pancreas obscured by bowel gas. It does state the liver is normal in size but contains 2 well defined hyper echo in areas, right lobe and left lobe. I am not looking for diagnosis, I understand.

I’m just looking for someone to tell me in laymans terms a) what it means and b) what do i need to ask my doctor in a follow up When I provide them it’s my results?

13 Replies
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The sonographer isn't giving a diagnosis on the two wee defined hyper echoic areas and it is these that would require some follow up. They could be cysts or benign lumps like haemangioma, lumps of fat or even some scar tissue. You should take this report to your doctor and see about follow up, normally when an unidentified lump is found in the liver a follow up MRI scan would be booked to allow confirmation that it isn't anything to be concerned about. Everything else sounds good with nothing untoward. Maybe see if your doctor will arrange an MRI to see about these lumps but don't go terrifying yourself about them, there are more harmless lumps and bumps in livers than scary ones.

All the best, Katie

THANK YOU SO MUCH Katie . Hopefully this will be enough for my GP to actually admit there is an issue now instead of fobbing me off and look to do something. I will push her now I understand more what I am dealing with.

Will keep you all in the loop. I’m 10lb lighter in a week, my appetite for anything went right out the window. Good kickstart to my healthy lifestyle, only 4 more stone to go :-)

There still might not be an issue, many folks have lumps and bumps in their livers (particularly cysts) that cause no issues whatsoever so please don't convince yourself there is a problem but definitely worth getting investigated more thoroughly.

Katie

I won't, I know a lot more about livers than I did this time last week that's for sure. Every "symptom" I've had has been treated in isolation, by different GP's and like you say may or may not be connected in any way but no-one has ever thought to put them all together.. It's the knowing. This at least gives me the confidence to question the GP and show I do have an understanding and push for the right investigation to be done. Thanks again Katie 🥰

Hi Katie - so I had my call this morning and updated her on my diet and alcohol over the past few years. She has said even with the ultrasound, given all my blood tests she carried out and the liver test results she is convinced there is no underlying issue and I should carry on as normal and she wouldn’t investigate further.

Having pointed out to her my past symptoms which were all dealt with in isolation, she still wouldn’t budge on her opinion. I had an upper abdo ultrasound in 2015 which apparently showed on my right lobe 30mm which ii assume is the one now that’s over 50mm and said they put it down to being a haemangioma?

She said it was clear as I had booked the ultrasound privately that it is playing on my mind. However, given my results from the multiple blood tests she ordered she would not be in a position to refer me for a fibroscan as I don’t meet the criteria she has to work to?. I’m assuming cost is a deciding factor here?

She’s going to do AST and GGT tests and a full liver screen but earliest appt I can get is the 4th Dec. Can I push for the fibroscan or will these new tests provide a diagnosis even though I’ve not been physically examined or seen by anyone?

If the previous scan had identified the hyper echoic regions as haemangioma then that's the only thing on your latest scan that would have required follow up i.e. if they are identified as haemangioma then they don't need checking to see if they are something more sinister. (My hubby has several and they are seen and identified on u/s).

With all normal tests and a clear ultrasound you should be reassured and hopefully with some follow up tests down the line you're getting an eye kept on you. Keep up the good work with your positive lifestyle changes and keep looking after your liver.

Katie

That's reassuring, thank you Katie. She explained all about my white and red bloods, the clotting one and others too and said she wasn't just basing it on my LFT results but as we discussed in detail, nor was she considering alcohol as a potential factor...It did help I could throw in some terms and understanding and she could tell I'd done some research. Hopefully these next ones will give a clearer picture.

I can already feel all my symptoms easing and it's only been just over a week, that's enough to tell me I was doing myself damage. It's the haribo I'll miss more than the wine I think 🤗

Chris884
Chris884 in reply to AyrshireK

Got a question. Where do spider angiomas appear in cirrhosis.

AyrshireK
AyrshireK in reply to Chris884

On the British Liver Trust page on cirrhosis it says spider angioma are an early symptom of cirrhosis "spider-like small blood capillaries on the skin above waist level (spider angiomas)". Some people though do get confused with spider veins/thread veins which are nothing to do with cirrhosis and spider angioma which can be related to liver disease (these actually look like little spiders with a central body and legs running off.

Have you had a confirmation of cirrhosis diagnosis Chris? I know you've posted a couple of times over the years and were having difficulty getting proper tests.

Katie

Chris884
Chris884 in reply to AyrshireK

No have always had normal ct scans. But since I lost insurance. Just been worried about any little thing I see. I am a welder stand 10-12 hours a day. And have noticed spider vein things on legs and on upper thighs I have a couple of red dots. I guess when doctors tell you scans show liver appears normal. I still worry because have not been to doctors in a few years.

AyrshireK
AyrshireK in reply to Chris884

We've communicated before Chris, I am aware of your story. It sounds like these are thread veins which arn't the same as spider angioma which as the BLT page suggests are normally above waist level in liver disease. I know my hubby only has 2 true spider angioma and he has confirmed cirrhosis - his are on the rear of his shoulders. It's a great pity you are still not in a position to get proper monitoring after your hep c treatment.

Katie

Chris884
Chris884 in reply to AyrshireK

I appreciate it. I am working on getting insurance.

Hi Thumberlina, you don’t mention what your physical symptoms are which were dealt with by different GP’s in isolation. What are they?I can only tell you that for me, I didn’t get a Fibroscan until I’d been referred from the GP to a Gastroenterologist at a London hospital then she referred me to a Hepatology Consultant at their parent Trust Hospital. It was the Hepatology Consultant who arranged with a nurse to do the Fibroscan. However, as discussed on this BLT forum it can vary and be one reading then another (this happened to me) and in my opinion because this happened to me it’s not a reliable diagnostic measure of cirrhosis.

Your GP giving you Liver Function Tests (LFT’s) with a GGT test will give her a chance to review and hopefully provide you with the answers you’re looking for.

Keep us updated. Good luck with your new health regime. I love Haribo Tangfastics ;)

Hundochick

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