3x4cm Lesion - undefined after CT, Ultrasound AND MRI

[PNWSwimmer]

So i had my private pay MRI last week. 4 weeks after the CT scan [that took a year to get] and 2 weeks after the ultrasound that was supposed to "confirm it is just a cyst" [it didn't]

Results were sadly still inconclusive, though did suggest mostly like a "resolving hematoma" [even though i have had no recent blunt force trauma to my rib area!] with a differential diagnosis of possibly paracystic cyst [v unlikely] or "purely cystic mucinous at the carcinoma metastasis" , Also didn't look like typical benign cyst or HCC.

Its not round. its 4cm x 3 cm x 1/5cm in 7th section. Looks l little like ET , or a squashed kidney bean. I have some side pain in the region. Rest of the liver looks fine. Just a weird black blobby thing hangin out in my liver.

Get an other scan in 3 months is the recommendation.

Of course i cant guarantee i can GET another scan in 3 months, current wait lists in public sector are 3-6months. I could pay again myself i suppose, but really don't feel like dropping another $1300 CAD on it. Even if i did, i have no idea how i would then get it sent to a specialist to deal with whatever the heck it is!!

So there that. No real advise on who to do in the interim about pain management, or what will happen if it has changed. No specialist looking at it as far as i know. Anyone in BC Canada know about that?

I wish i was like an F1 driver earning 45 Mil a year. I bet they would have the mystery "solved" in under 48 hrs!

good times.

[Menomosso]

in the UK (not sure if they do this in Canada) they can test if a lesion is malign by flushing something through your blood while they observe the lesion under ultrasound. (sorry I didn’t take any notice of what the procedure was called when they did it for me). But you could perhaps ask if this is an option.

[PNWSwimmer in reply to Menomosso]

Thanks.. ill ask when I see a doc next week! I found something called the CEUS Technique online? seems malignant lesions "washout" faster or something? Maybe due to blood flow? Ill look into it, though noone has suggested it here.. the Radiologist on the MRI said "get another MRI" which i hate, and are expensive, so id rather avoid! thx for the info!

[Menomosso in reply to PNWSwimmer]

Hope it helps. I know how worrying the waiting can be. But they said that most cysts/lesions turn out to be benign, as was the case with me. I’d actually fallen off my bike a few months earlier, and completely forgotten about it, as I thought I’d just winded myself. Was shocked to find I’d actually damaged my liver….. good luck !

[PNWSwimmer in reply to Menomosso]

Oh interesting.. i got knocked into a rock face getting out of the surf in Feb 2024.. though i had hurt my ribs.. a regular US then showed nothing untoward, so we assumed a muscle issue and carried on. The CT scan they ordered April 2024 just came through Feb 2025, and that's when they found whatever this is. I wonder if it just took a while to develop, or they missed it at the time [how anyone reads those US is beyond me!] or if i somehow re-bumped the same spot and re injured it.. it certainly seems to be hurting more consistently now that it did then. Though maybe ive just forgotten! One of the options now is a "resolving hematoma" but i cant remember hurting myself in the last 10 months.. lol might have forgotten that too i suppose! Did yours just disappear? or does it not cause you any pain?

[Menomosso]

i had a few months of feeling very tired, just no energy and strange things like sweating a lot at night. By the time it was diagnosed it was 'healing' and showing calcification... that was a year after the actual injury. No real pain in the area concerned. It basically healed itself.