Basically the report from the CT describes 1 large and 5 smaller liver lesions that are likely hemangiomas. That means they are probably benign tumors but they recommended a follow up study in six months (sooner if pain increases) to see if they are growing.
Gosh, you would think with all the coffee I drink that my liver would be pretty healthy. At least according to some studies; Google: coffee liver
They also noted the hiatus hernia which was revealed at the recent barium swallow, and a L2 vertebral body hemangioma which my chiropractor had also noted earlier.
More details are listed in the "Continue reading..." link below.
06/01/2004 11:36 am
CT ABDOMEN W/ & W/O CONTRAST
INDICATION: Liver abnormality seen on ultrasound.
Axial images from the dome diaphram with IV contrast. The upper abdomen was imaged without IV contrast, as well as in the arterial portal venous 4 mintues delay and 8 minutes delay enhancement.
FINDING:
1. Lower thorax unremarkable.
2. There is a large caudate lobe lesion with Waldenstrom's type border. It measured approximately 4.7 x 3.3 cm. It appeared to have peripheral nodular enhancement in the portal venous phase with gradual filling and in the delayed phase of contrast enhancement.
In the right most portion of the lateral segment of the left lobe there is a 1.5 cm lesion. It has a somewhat nodular enhancement of the portal venous space also. If there is isoattenuation to the rest of the liver on the delayed phase of the contrast enhancement. A second lesionit left most portin of the lateral segment of the left lobe measures approximately 7 x 5 mm. There is a third lesion t the superior most aspect of the lateral segment of the left lobe of the liver just below the diaphragm, which is somewhat difficult to visualize, but appeared to have a small nodular enhancement. This lesion measured approximately 8-9 mm.
Two lesions at the medial segment of the left lobe; one anteriorly measuring approximately 3-4 mm, and another one at the gallbladder fossa. They may have slight nodular enhancement of the portal venous phase. They are also difficult to visualize on the delayed imaging.
A hiatus hernia is noted.
Spleen, adrenals, kidneys, pancreas and biliary system are unremarkable.
No evidence of small or large bowel abnormality.
No significant lymphadenopathy.
No abnormal masses or fluid collection.
PELVIC FIDINGS: No bowel abnormality noted.
Urinary bladder, seminal vesicle and prostrate is significant for a slightly prominent prostrate.
No significant lymphadenopathy in the pelvis.
Incidental note of L2 vertebral body hemangioma.
IMPRESSIONS:
1. Multiple liver lesions as described above. There is a large lesion at the caudate lobe, 3 lesions in the lateral segment of the left lobe, two lesions in the medial segment of the left lobe, and another one at the superior posterior right lobe. Given the ultrasonographic appearance as well as the enhancement pattern, they are likely hemangiomas. Typically, hemangioma would have a a slightly more dense enhancement in the arterial phase, whereas in this patient it did not definitely show that enhancement pattern. The timing of the scanning in relation to the contrast bolus might have been slightly early, therfore the lesions were better seen on the portal venous phase. A follow-up study in six months is recommended to determine stability.
2. Hiatus hernia
3. Otherwise no abdominal or pelvic abnormality noted.
Posted by dancoy at June 4, 2004 01:56 PM