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?
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.
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.
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Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Kindly go through the CT scan report, which shows any lesions or evidence of liver hemangioma ... Yes, these lesions are consistent with a hemangioma ... Generally in liver, symptoms due to hemangioma are directly proportional to the size of hemangioma . Read full
I am a 54 year old male with complex medical histories, including a current splenic artery aneurysm, an occluded right vertebral artery, historical major spinal cord trauma from intradural schwannomas (removed twice) and multiple liver hemangiomas . Read full
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