HomeAnswersMedical GastroenterologyultrasoundI have echogenic lesions in my liver with chronic fatigue and pain on my right side. Kindly help.

Do echogenic lesions in the liver indicate liver cancer?

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Published At December 29, 2022
Reviewed AtDecember 15, 2023

Patient's Query

Hello doctor,

I have echogenic lesions in my liver which were discovered in an ultrasound. The doctor is recommending doing a follow-up MRI to characterize the lesions better. The largest one is 1.9 x 1.5 x 1.9 cm. No intrahepatic ductal enlargement. My CBC also showed a high MCHC count and low MPV. My bilirubin level is also slightly high. I am concerned this could be cancer of the liver. I have been tested for all other types of liver diseases, such as hepatitis, and all of those results were negative. My other symptoms include feeling full, even after eating very little, difficulty digesting foods, and constantly feeling bloated. I also have chronic fatigue and pain on my right side. I am also unable to lose weight despite eating less and exercising. I do not drink or smoke and eat a healthy vegetarian diet.

Kindly help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Ultrasound liver lesions could be liver abscesses or benign hemangioma, or liver cysts. Your symptoms are highly suggestive of acid peptic disease, but this is not related to your ultrasound findings. My high recommendation would be a CECT (contrast-enhanced computed tomography) abdomen further. I would not suggest MRI (magnetic resonance imaging) abdomen. CECT abdomen would yield a better diagnosis.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

I do not want to get a CT scan because of the amount of radiation. They recommended getting an MRI. Regarding acid peptic disease, I am trying to figure out where my blood results fit. Based on what I researched, they indicate anemia or liver disease. I am also concerned about that, as I already have a B12 absorption issue due to the MTHFR gene mutation. The anemia that I am concerned about is called autoimmune hemolytic anemia. Is this a possibility?

Thank you.

Hello,

Welcome back to icliniq.com.

No, this anemia could be due to vitamin B12 deficiency and does not look like hemolytic anemia. I would also recommend you take vitamin B12 injections as your oral absorption of vitamin B12 would be poor.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

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