What are the solution for abdominal pain?

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

I hope your discomfort is not severe. Analyzing ultrasound scans requires well-labeled images for accurate interpretation and reporting. From the provided images, there is an identified space-occupying lesion measuring 58 x 65 mm (AP x TR), likely in the right lobe of the liver, displaying central areas of potential degeneration. This area exhibits mild vascularity in the Doppler image. The gallbladder appears to be normal. Images of the pancreas, spleen, bilateral kidneys, urinary bladder, and prostate are within normal limits based on the visualized extent. Considering your symptoms and the presence of a possible liver abscess, it's crucial to rule out other liver lesions through a detailed evaluation. A contrast CT (computed tomography) scan of the abdomen is recommended for a more comprehensive assessment. Please share the ultrasound report provided to you, allowing for a thorough discussion of any ambiguities and addressing further concerns.

Looking forward to your response in order to help you.

Thank you.

Hi,

Welcome back to icliniq.com.

Thanks for sharing the report (attachment removed to protect the patient’s identity). For a patient with a brief history of acute right-sided abdominal pain, considering an abscess as a potential diagnosis is reasonable. In cases where there is no sudden onset pain or painless swelling, hepatoma becomes a crucial consideration due to the presence of vascular elements in the lesion. It is important to acknowledge that findings between hepatoma and abscess can sometimes overlap. Therefore, a CT triple-phase contrast scan is the preferred investigative approach, and if feasible, a biopsy would provide confirmation of the diagnosis. Providing multiple possible diagnoses rather than a singular one is essential, especially considering the range of differential diagnoses for liver lesions, including vascular conditions like giant hemangiomas. In this scenario, the recommended course of action is to assess the patient clinically. If toxic symptoms such as fever and intense abdominal pain are present, the likelihood of a liver abscess may persist. However, if the symptoms are relatively mild, the consideration of hepatoma becomes more significant, necessitating a CT triple-phase contrast and biopsy for a conclusive diagnosis.

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