I know I should be okay with these results but I’m not and I’m also not insensitive to the many that have much worst findings. But I just keep looking at the future and I don’t see a light just a dark cloud overcast on the rest of my life.
Being honest, my diet wasn’t the best since my MRE in January but at least my fitness level was strong. I didn’t over consume calories but did increase carbs, sweets, and had the occasional burgers and fries. I’ve been traveling this road since 2014 and wanted a break—-I wanted to be normal. I now know that is never going to happen due to surgical induced hypothyroidism. I think I now have metabolic syndrome with high LDL and a fasting glucose which is “in range” but high for me at 91.
Looking for any thoughts on how I can improve my health.
Study Result
Impression
IMPRESSION:
1. No hepatic fibrosis. Heterogenous liver stiffness, with focal area of mildly increased liver stiffness right hepatic lobe, segment 5, which may represent normal or inflamed liver parenchyma.
2. No hepatic steatosis.
3. No iron deposition in the liver.
Narrative
EXAM: MRI ELASTOGRAPHY
INDICATION: Nonalcoholic steatohepatitis.
Technique: In and Out of phase imaging, axial T2 HASTE fat suppressed, R2 star maps, and gradient echo MR Elastography were performed.
COMPARISON: MRI elastography on 1/6/2021
FINDINGS:
LIVER STIFFNESS (MR ELASTOGRAPHY):
Range of liver stiffness values throughout entire liver: 1.5 to 2.6 kPa.
Average liver stiffness throughout entire liver: 2.0 kPa, which is not compatible with fibrosis.
Are there areas of elevated liver stiffness that are at least the size of one hepatic segment Yes
If yes, describe location and stage of fibrosis: Focal area in segment 5, demonstrating mildly increased stiffness, with average liver stiffness of 2.6 kPa, which may represent normal or inflamed hepatic parenchyma (series 350, image 1).
Reference values:
= 2.5 kPa normal
>2.5-3 kPa normal or inflammation
>3-3.5 kPa stage 1-2 fibrosis
>3.5-4 kPa stage 2-3 fibrosis
>4-5 kPa stage 3-4 fibrosis
> 5 kPa stage 4 to cirrhosis
FAT QUANTIFICATION:
The average liver fat content percentage calculated using a two-point Dixon technique is: 4 %, which is not compatible with fatty liver.
Reference values:
=6% normal (Grade 0)
> 6-26% mild steatosis (Grade 1)
> 26-37% moderate steatosis (Grade 2)
> 37% severe steatosis (Grade 3)
IRON QUANTIFICATION:
The range of R2* values are: 42 to 47 Hz.
The average R2* frequency is 44 Hz, which is not consistent with iron deposition in the liver.
Reference values:
< 88 Hz normal
88 - 263 Hz mild iron deposition
263 - 555 Hz moderate iron deposition
> 555 Hz severe iron deposition