How can I interpret my liver ultrasound report?
Patient's Query
Hi doctor,
I had CT with contrast in ER when I had kidney infection and sepsis. Liver numbers were elevated after this happened. CT uploaded. Had liver ultrasound and report came back. Two of my doctors read it differently. I need help understanding the ultrasound result. I have talked to two of my doctors, who each had a different take on it.
My liver test results are ALP 197, ALT 72, and AST 36 again, never an issue before kidney infection and sepsis.
I have no issue with liver numbers in the past. I am obese. I took Prozac, thyroid NP, low-dose Naltrexone, compounded progesterone 100 mg, and Liothyronine.
Please help.
Thank you.
Hi,
Welcome to icliniq.com.
I would be happy to answer your query.
Your ultrasonography report (attachments removed for patient identity protection) says mild changes are seen in your liver parenchyma in coarsened echotexture. Changes can be seen in the liver and other organs. Usually, aminotransferase levels can be elevated in conditions such as sepsis or pyelonephritis, as sepsis can cause liver dysfunction leading to elevated enzymes. This happens because in kidney diseases, toxins build up in the body, and as kidneys cannot flush them out completely, these excess toxins damage the liver.
Once your kidney infection or sepsis is treated, you can reassess your liver enzyme levels to see if they fall to normal (assuming there is no primary liver disease such as steatosis or cirrhosis).
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for your answer.
You say mild changes based on what you read on the ultrasound.
Do you feel the way the US report was written that the radiologist said, absent overt cirrhotic morphology?
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
Yes, based on what the ultrasonography report says, it means absent overt cirrhotic morphology.
I hope this helps.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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