Can the scan reports explain in detail the condition of the liver hemangiomas?

Question

Hello doctor,

I have had an ultrasound and was told I have two suspected liver hemangiomas that need follow-up. The scan yesterday discovered a new lesion in my liver measuring 21 mm x 20 mm. They suspect hemangioma but want me to follow this up. I had already been diagnosed with one hemangioma two years ago (measuring 13 mm x 14 mm) but now measuring 17 mm x 30 mm. However, this was only diagnosed by ultrasound scan and not followed up with other tests, as I was told it was unnecessary. I do not know if they missed the second lesion at that time or if it was newly developed. I have had general blood tests that check for liver health, and all have returned fine. Can I send you the scan pictures and report to let me know your thoughts?

Thank you.

Answer 1

Hello,

Welcome to iclinq.com.

I am reviewing your case history and attached files in detail and will get back to you.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I have reviewed your case history and the attached reports (attachments removed to protect the patient's identity). Do you have any other queries?

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

These isolated lesions are less likely to be cancer, but ultrasound is not a diagnostic modality of choice. Although ultrasound is always used for screening or monitoring the size, the consultant will go for a CT (computed tomography) scan or MRI (magnetic resonance imaging) whenever a patient needs better imaging. Considering the increase in the size of the previous hemangioma, the appearance of a new one, and the use of oral contraceptives, I suggest a better evaluation with a CT scan or MRI. Having a stable weight is a good sign. MRI is as good as a CT scan, with no issues.

Thank you.

Answer 4

Hello,

Welcome back to icliniq.com.

I do not think that the previous hemangioma was cancer. However, it is very common to see the increasing size of hemangioma, especially in female patients with a history of oral contraceptive use. The other hemangioma was likely missed due to its very small size. So ultrasound does have some limitations too. I have suggested the workup for you to clear out this issue. Do not search in the internet, it will provide you with unfiltered information, and you will be more anxious, inform your doctor that you want better abdominal imaging and some blood workup.

Hope this helps.

Kindly revert for further queries.

Thank you.