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Q. I have amyopathic dermatomyositis, and I have two liver lesions. Is an MRI necessary?

Answered by
Dr. Sadaf Mustafa
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 10, 2017 and last reviewed on: Oct 13, 2021

Hi doctor,

I was just diagnosed with amyopathic dermatomyositis, and I have been put through a lot of cancer screenings as this does not run in my family. All tests are normal, except regular ultrasound of the abdomen showed two non-specific liver lesions up to 3.2 cm. The previous CT scan of the abdomen for diverticulitis showed liver as normal without contrast. Can these lesions form in a year and be benign? I am stressed out. The report said hyperechogenic and likely hemangioma. I am scared to have an MRI.

#

Hello,

Welcome to icliniq.com.

  • Usually, non-specific liver lesions are mentioned as hemangiomas. CT scan without contrast would not pick them that easily, they may have been present then. Even if hemangiomas were not there, they may have developed over time and are benign.
  • Having said that, it is very important to rule out more aggressive pathological conditions given your recent diagnosis. Therefore, I would agree with the MRI.

I hope I have answered your question. Please let me know if you have any further questions or concerns. Kind regards.

For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Thank you doctor,

I have read that these are more common with lupus. Are hemangiomas common with all autoimmune diseases?

#

Hello,

Welcome back to icliniq.com.

  • Actually, they are fairly common in the general population as a whole and particularly in females using OCP (oral contraceptive pills) or hormone replacement therapy. It may happen in autoimmune diseases affecting liver but not in all autoimmune diseases.

Take care and do not stress. It will be fine. Please let me know if I can be of any further assistance. Kind regards.

For further queries consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician


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