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Does my ultrasound report indicate liver cancer?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I need help interpreting the impression part. Does this ultrasound indicate that I potentially have HCC or liver cancer?

Report:

Examination: Ultrasound Abdomen.

Indication: HCC screening.

Comparison: None.

Technique: Multiplanar gray-scale images of the abdomen were performed.

Findings:

Pancreas: Visualized portions of the pancreas are normal.

Aorta: 2.0 cm in size.

IVC: Normal.

Liver: Measures 14.2 cm in size. Increased echogenicity. No focal mass.

No intrahepatic ductal enlargement.

Gallbladder: No gallstones. Gallbladder wall thickness 2 mm in size. No pericholecystic fluid. No sonographic Murphy's sign. Probable tiny polyp.

Common bile duct: 3 mm in size.

Right kidney: Measures 10.5 x 4.6 x 5.6 cm in size. Normal echogenicity.

No focal mass. No hydronephrosis. No nephrolithiasis.

Ascites: None.

Impression:

1. Echogenic liver may be secondary to fatty replacement and underlying hepatocellular disease.

2. Tiny probable gallbladder polyp. No stones.

Please help me understand my report.

Answered by Dr. Vivek Chail

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I hope you are not in much discomfort.

The ultrasound report scan shows increased echogenicity, which means that the liver is mildly whiter than the normal liver on the images (attachments removed to protect the patient's identity). This can happen when there is increased fat content in the liver or any other condition of the liver that might cause this change. It does not specifically mean hepatocellular carcinoma. Please note that an ultrasound scan is a subjective interpretation. A small gallbladder polyp measuring 2 mm is not too significant but might need a follow-up scan in a few months or years.

Regards.

Medically reviewed by Dr. Chithranjali Ravichandran
Published At April 6, 2021
Reviewed At October 22, 2025

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Chithranjali is a passionate and skilled Dentist specializing in preventive care, restorative treatments, cosmetic dentistry, and oral health education. She excels in managing dental conditions with precision and compassion, ensuring patient comfort and positive outcomes. Committed to promoting long-term oral wellness, Dr. Chithranjali combines advanced dental techniques with personalized care, empowering patients to maintain healthy smiles and achieve optimal overall dental health.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Vivek Chail is a General Practitioner and Family Physician committed to delivering holistic and comprehensive healthcare for individuals and families. He provides preventive, diagnostic, and therapeutic care for a wide spectrum of medical conditions. He provides patient education and lifestyle counseling for long-term health and wellness. He is well-versed in chronic disease management for conditions like diabetes, hypertension, asthma, and thyroid disorders. He is an expert in the diagnosis and management of acute and chronic illnesses across all age groups.

This doctor is not available for online consultations on the platform anymore.

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