Ultrasound followed up by mri... - Living with Fatty...

Living with Fatty Liver and NASH

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Ultrasound followed up by mri...

lusitania84 profile image
4 Replies

So I had an ultrasound about 3 months ago which apparently revealed a fatty liver. Then I just recently had an abdominal mri w/ and w/o contrast. This test was perfectly normal. On the remarks for my liver they responded: "Normal. No steatosis. No mass. Normal intrahepatic bile duct" So obviously an mri is far more detailed imaging than an ultrasound and even more so than a ct from my understanding. Does this mean I've turned things around in just a few months? I have been working hard on the diet and no alcohol whatsoever. Still seems strange...

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lusitania84 profile image
lusitania84
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nash2 profile image
nash2Partner

Hi Lusitania

Neither test is great for measuring liver fat. The standard MRI gives a much clearer picture but doesn't actually measure it so there is a human element in interpretation., That said, the liver can mobilize liver fat pretty quickly if the diet is good. It sounds like you are on the right track. If you ever want an actual measurement, the best tool is an MRI-PDFF or proton density fat fraction which is highly accurate but absent some other indication your doc may not be willing to order it if you are doing well.

waterstop profile image
waterstop

I had just about the same thing happened to me. I did go on a very strict diet no alcohol as well. It’s sometimes just makes you wonder about these pets we take, and the people that interpret them.

lusitania84 profile image
lusitania84 in reply towaterstop

So what happened, and what do you mean pets we take? I assume that's a typo but I'm curious what happened.

waterstop profile image
waterstop

“Tests we take”. I will continue on the diet ….. a new way of eating….. for the rest of my life. And I will have yearly fibro scans to ensure that the #’s continue to go down

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