Dr. Chitrangada Jitendra
Radiology
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Patient's Query
Hello doctor,
I had hepatitis A last year while I was five months pregnant. Normal liver tests were done in the sixth month. My liver enzymes were high again before a month. Still, I have mild jaundice, tiredness, and itching. History of the bad liver in the family. Reflux and chest pains regularly last for six years. I had very bad pain around the chest, radiating from under solar plexus up till the throat, around ribs. Cannot wear anything tight or have pressure put on ribs as it hurts a lot.
Hello,
Welcome to icliniq.com.
The CT findings state that the liver is enlarged. No focal lesions are seen. The portal vein and the branches appear prominent. The splenic vein is also tortuous. However, the spleen is normal in size. These findings are concerning for portal hypertension. Further evaluation with color doppler of the portal venous system is recommended.
Patient's Query
Thank you doctor,
What does that mean that the veins are prominent or tortuous, is that a bad thing? Is the liver enlarged little or very much? Is it possible that it can be fixed and I can be healthy with proper diet?
Hello,
Welcome back to ilciniq.com.
The veins are prominent, and dilated means they are showing more flow than normally expected from them. The liver is moderately enlarged, not extreme. A hepatic diet would help. If any more doubts, please feel free to discuss.
Patient's Query
Thank you doctor,
Thanks for the explanation. I had an ultrasound scan today, and the doctor said that she could see some fat in the liver. I asked if it means that I have fatty liver disease. But, she said that I just received information that there is some fat buildup and I should say that to my main doctor, so they find out the reason.
I have not had any feedback saying that tissue is damaged, can I safely assume that there is no scarring or damage? How will my doctor find out if it is just a fatty liver or something more like inflammation?
I have fibroscan scheduled, but I need to wait for a month. Are there any tests I should ask my doctor about to check if it is because of hep A I had while pregnant, autoimmune issues or metabolic dysfunctions? I am just afraid we will miss something. Is there a doctor you would recommend in your online clinic who specialized in liver diseases?
Hi,
Welcome back to icliniq.com.
Fatty change in the liver is a mild pathology in comparison to fibrosis and chronic parenchymal change. It can be easily taken care of by dietary measures.
The fibro scan will help judge the degree of damage either because of fatty liver or any underlying fibrosis. Yes, we can assume that there is no fibrosis if not mentioned in your report.
Correlation with liver function tests can help in concluding the etiology for the liver disease, which I am sure would already be in order.
I would also say that do not worry and rush to some conclusion instead go step by step as directed by your consultant, and soon the picture would be clear. In the meanwhile try regulating your diet. I hope I have answered all your queries. Take care.
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Radiology
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