Diffuse Fatty Liver

Kidney stones in teenagers treatment

Kidney stones are more common in adults aged 40 and older than in teenagers, though it may occur ay any age. These stones in teenagers can be effectively treated with natural remedies as 80% kidney stones are cured without surgery. All types of kidney stone like calcium, struvite, uric acid, cystine or other rarer types and all sizes whether small or large are removed by using natural remedies.

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The symptoms of kidney stones are 1) acute pain in the flank, lower abdomen and groin 2) nausea and vomiting 3) persistent urge to urinate 4) pain on urination 6) pink, red or brown urine and 7) fever and chills, if an infection is present.

Certain diets, being an adult, obese and a man, family or personal history, dehydration, digestive diseases and surgery and other medical conditions may be the factors that combine to cause kidney stones.

Diagnostic techniques used in diagnosis are: 1) blood test 2) urine culture test 3) microscopic study of urine 4) ultra sound 5) x-ray 6) CT.scan 7) 24 hour urine collection and 8) catching of passed stones at home. Testing the stone itself, blood test and urine test are used in finding out the type of stone.

Orange juice, lemonade, cranberry juice, fruits and vegetables with potassium citrate, lemon juice, asparagus, olive oil, citric acid and green may be used successfully as treatment of kidney stones in teenagers. These natural remedies dissolve the stones into sludge or break them in to small particles and then flush them out through urine in 24 hours.

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You can find out Natural remedies which could dissolve kidney stones in nature .These remedies can dissolve stones into sludge & pass it through urine without pain .

Frequently Asked Questions

  1. QUESTION:
    What does diffuse fatty liver change mean ?
    I have not been well since January. I had an Ultrasound then and it read that I had a fatty liver. To make a long story short, I had a CT with and without contrast done (for kidneys-I have kidney stones) and I ended up having my gallbladder taken out a couple of weeks ago due to large gallstones. Well, I have a copy of my report from the CT scan and it was compared to a previous CT and it read that I have diffuss fatty liver change. What does this mean ? Should I be concerned ? Is this the beginning of Cirrhosis ? Is this something that can end up killing me ? What should I expect next as far as testing is concerned ? I do not drink alcohol nor am I obese. I am going back in four weeks to see my Primary care physician and just wanted some input about this prior to that appointment. Thank you.

    • ANSWER:
      Alcohol is the most common cause. Toxic, metabolic and hypoxic conditions of all types.
      Pathogenesis

      • Liver is the principle organ of fat metabolism and synthesis.
      • Interference with mobilizing triglycerides out of the liver is the usual mechanism.
      • This happens when toxins or agents affect the mitochondrial and microsomal functions resulting in defective oxidation of fatty acids and aberrant mitochondrial function.
      • Factors casuing fatty change do not all act in the same way. ,
      Epidemiology

      • This is a common condition, but it is usually secondary to other diseases; again, alcohol is the most common cause, in the industrial world; however, among children and in the developing countries, malnutrition, especially protein and iron deficiencies, are the most common.
      General Gross Description

      •In severe and diffuse cases, the liver is enlarged, yellow, smooth, firmer than normal and greasy.
      •In partial involvement, a pale or yellow blotchy appearance is often noted.
      General Microscopic Description

      •There are two forms of fatty change : microvesicular and macrovesicular.
      •Microvesicular: Numerous tiny fat vesicles, requires fat stain to be appreciated. Often, one would be surprised as how enormous fat accumulation is without being seen in H&E sections. This is a toxic condition causing hepatocellular failure.
      •Macrovesicular: a few large clear vacuoles in the cytoplasm of hepatocytes, pushing the nucleus aside. Usually, has no effect on the function of the hepatocyte.
      •There is usually no inflammatory reaction to this, unless the fatty cells rupture.
      Clinical Correlation

      •Macrovesicular: Hepatomegaly is the only sign; liver function tests are minimally abnormal, if at all.
      • Examples include: Alcohol - with a combination of macro and microvesicular fatty change, Malnutrition - in particular protein deficiency, starvation, diabetes, obesity , severe infection or burn, Medication and Toxins, Hypoximia.
      •Microvesicular: a different disease; this is a toxic, metabolically abnormal and serious condition; although the patient has mild hepatomegaly, severe liver function test abnormalities to the point of liver failure is common.
      • Pure examples would include: Reye's Synd., fatty liver of pregnancy and tetracyclinet toxicity.
      • The most common cause is alcohol.

  2. QUESTION:
    what is diffuse fatty infiltration of the liver?
    and is it serious? the ct findings say that my liver is not enlarged and measures 28.5cm. but at the end of the report it says the impression is hepatomegaly with diffuse fatty infiltration of the liver. doesn't hepatomegaly mean that my liver is enlarged?

    • ANSWER:

  3. QUESTION:
    what are the best way to do if i have a mild diffuse fatty infiltration of the liver?do i need to worry?
    Im scared because i always have pain in my right abdomen.swollen and drowsiness.also i do not know if the pain i felt most of the time in my left knee is connected for having a diffuse fatty infiltration of the liver.please help what to do.

    • ANSWER:

  4. QUESTION:
    what foods to be avoided when you have diffuse fatty liver?
    cause of diffuse fatty liver

    • ANSWER:
      Fatty liver disease can come from alcohol consumption,
      certain types of medications(like steriods), chemical exposure,
      losing weight fast, obesity, gaining weight, high cholesterol/
      triglyceride levels, diabetes, insulin resistance and other things.

      It is best that the doctor refer the patient to a dietitian or
      nutritionist. They will take into account all your medical
      condition and give you a diet to follow accordingly...
      making sure you get all the vitamins, minerals, proteins,
      and other necessities from the food you eat.

      Remove the skin from poultry. Use only good oils like
      olive oil or canola oil. Buy fresh fruits and vegetables or
      use frozen (try to stay away from canned as there is high
      sodium content). Avoid fast foods, preservative, and
      prepackaged foods. If this is from "high cholesterol"levels...
      then you may need to limit the amount of milk and milk
      products in your diet. All liver patients are told, No Alcohol
      and only use drugs prescribed by or approved by your doctor.
      A true diet that would benefit you cannot be totally told here...
      it depends on the cause, your health, and many other things.
      Bake, broil, or boil your foods...don't fry.

      Avoid open salad and food bars and wash all fresh fruits and
      vegetables...you don't want to become sick with something else
      that can weaken your body more or cause you to take
      additional medications. It will be alot harder on the liver....
      best to wash hands often and use purell or another germ killer
      in between.
      ................................
      Fatty liver disease usually starts out as fat infiltration in the liver
      and it doesn't cause a problem right away. However, if the fat
      continues to build up in the liver (which is surrounded by a tight
      membrane capsule) it causes pressure and can damage the
      liver cells. When the liver cells become damaged, the immune
      system of the body will respond to this and cause inflammation
      to develop inside the liver, also. It is then known as
      Steatohepatitis (steato stands for fat, hepat stands for liver,
      and itis stands for inflammation).

      If the cause can be determined and the patient follows the
      doctor advice...it may allow the liver cells to heal and the
      problem can be reversed...however, if this is not done...
      the liver cells may start to die off and form scar tissue
      inside the liver...it is then known as the irreversible
      disease of Cirrhosis of the liver.

      Here are some links that may be of help to you:
      http://yourtotalhealth.ivillage.com/fatty-liver.html
      http://en.wikipedia.org/wiki/Fatty_liver
      http://www.gastro.com/Gastro/liverdisease/fatty_liver.aspx
      http://www.medicinenet.com/fatty_liver/article.htm
      http://www.liverdoctor.com/index.php?page=fatty-liver

      I hope this info has been of some help to you.
      Best wishes

  5. QUESTION:
    My daughter is 8 years old and she had an liver untrasound, the conclusion is moderate diffuse fatty liver?
    infiltration with focal fatty sparing in the porta hepatis

    • ANSWER:
      Fat has developed inside the child's liver...known
      as fat infiltration.
      The reasons for fat build up is:
      weight gain, mal nutrition, losing weight fast,
      diabetes, insulin resistance, certain medications
      like steriods, high cholesterol/triglyceride levels
      and others.

      This usually starts out as Simple fatty liver.
      Since there isn't much fat in the liver, it doesn't
      cause damage. However, as the fat builds up
      in the liver, this can change to Steatohepatitis.
      Steato means fat, hepat means liver and itis
      means inflammation. It means that the cells
      of the liver are becoming damaged and the
      immune system of the body is responding to
      this. Inflammation in the liver can cause the
      liver to enlarge in size.

      If the cause of the problem can be found and
      stopped and the inflammation is treated, then
      the liver cells may heal.
      If, for some reason, this isn't done then it can
      proceed to the liver cells dying off and forming
      scar tissue inside the liver that blocks the flow
      of blood...known as Cirrhosis of the liver.

      Here is a link to one of the Children medical
      centers about this and an article written by a doctor:
      http://www.cincinnatichildrens.org/svc/alpha/s/steatohepatitis/default.htm
      http://www.gi.org/patients/gihealth/pdf/fld.pdf

      It is best to follow any instructions the doctor may
      give to try and reverse this.

      Here are some things you may come across when
      researching this. This will help you understand better:

      1)NASH means non alcoholic causes of steatohepatitis.
      2)NAFLD means non alcohol causes of fatty liver disease.
      3)Hepatitis is inflammation of the liver cells.
      4)Cirrhosis is death of the liver cells.
      5)Hepat or Hepato means liver...so when this is part of
      the word used, it means it pertains to the liver.
      6)Itis at the end of the word means inflammation..so when
      you see "itis" at the end of the word, you know what it
      stands for.

      Here are some links on adult hepatitis, but it is also
      similar to pediatric:
      http://www.aafp.org/afp/20060601/1961.html
      http://yourtotalhealth.ivillage.com/fatty-liver.html
      http://en.wikipedia.org/wiki/Fatty_liver
      http://www.gastro.com/Gastro/liverdisease/fatty_liver.aspx

      Hope this information has been of some help to you.
      Best wishes to you and your child.

  6. QUESTION:
    diffuse fatty infiltration of the liver - what is that means.?
    Can someone please tell me in a way I can undestand (english) what is diffuse fatty infiltration of the liver. The CT scanning appears to be normar but with the above info.

    I have two previous CT with - Mosaic attenuation patter - and Mosaic perfusion. At this point I do not know if the scanning people know what they are doing or my health is fine.

    I have severe symptoms of pain on my Left Upper Quadrant Abdomen with mass in my abdomen followed by left upper back bruise (white spot - similar to bite)

    I just need your opinon of what possibilities of problems could that be. - It is over a year of testing with lots of drugs but no soluction.

    Please no website just your opionin.

    I thank you very much

    • ANSWER:
      Fatty infiltration is when the cells of an organ have absorbed fat from outside of it. In a nutshell your liver sucked up fat that surrounded it.

      Mosaic attenuation pattern has to do with what the person reading the CT scan is seeing. It is a pattern of darkness and lightness that resembles a form of art in which tiles are inlayed to form a picture. What they are seeing is the density of your liver varying in density wildly. This could be due to tumor versus healthy tissue versus fatty tissue.

      I have no idea what would cause a white spot on the outside of your body in relation to a mass inside of it though--that sounds a bit odd.

  7. QUESTION:
    What is diffuse fatty metamorphosis of the liver?
    I have been diagnosed with this but have no enhancing lesions.

    • ANSWER:

  8. QUESTION:
    show me the image Diffuse Liver Fatty Change?

    • ANSWER:

  9. QUESTION:
    "Diffuse fatty infiltration of the liver" Does this mean Cirrosis of the liver?
    Or could it mean other possibilites as well?
    I don't drink, I have thryoid cancer, and I just had a baby.
    *correction cirrhosis

    • ANSWER:
      Not yet.

  10. QUESTION:
    what is liver enlargement and moderate diffuse echogenicity compatible with fatty infiltration?

    • ANSWER:

  11. QUESTION:
    what would this remarks mean to my liver ultra sound? any second opinion?
    The liver echopattern appears hyperehogenic, No solid nor crystic mass seen. the common duct is not dilated & measures 3mm AP diameter, the rest of intrahepatic ducts are unremarkable.

    Diffuse liver disease, fatty changes entertained?

    • ANSWER:
      Fatty liver disease is shown as a presence of a hyperechogenic pattern of the liver and and elevated serum alanine aminotransferase (ALT) levels. You haven't listed your liver enzymes levels however.

      There are a few reasons for a diffuse liver disease but in your case it looks like cirrhosis from a fatty liver.

      http://resources.metapress.com/pdf-preview.axd?code=j8m7hg62482h1316&size=largest
      http://en.wikipedia.org/wiki/Cirrhosis

  12. QUESTION:
    What to do when liver shows mild increase in echotexture?/?
    Age 64 years. The impression: "mild diffuse fatty changes in liver"

    • ANSWER:

  13. QUESTION:
    Risk of fatty liver - need some clarification?
    I undergone for ultrasound (abdomen) for some other reason... but i got following report regarding my liver ...

    Normal in size with diffuse increase in echotexture.
    No focal altration in echotexture.
    Intrahepatic biliary radicles appear normal
    Common duct messures normal ...

    Impression : fatty liver

    I don't know, what is the risk of this problem & how should i treat this. Frnds are saying that... diet can simply reduce this fat... if not, then i may get a chance for Diabetes also ... Can someone clarify this ?

    • ANSWER:

  14. QUESTION:
    Liver scans.?
    Can anyone let me know what it means when a ultrascan says the condition is a diffused fatty liver.Any causes known on the subject.Answers muchly appreciated.My friend is unable to see the doctor and she is worrying until after the weekend as to her results.

    • ANSWER:
      Taking care of your self is the best solution, and not to stress over the dianosis, do the right things for your self instead of dwelling on it and getting depressed, the person who has it should use good nutrition, exercise, do not drink alcolhol. Nonalcoholic fatty liver disease (NAFLD) describes a range of conditions involving the liver that affect people who drink little or no alcohol.

      The mildest type is simple fatty liver (steatosis), an accumulation of fat within your liver that usually causes no liver damage. A potentially more serious type, nonalcoholic steatohepatitis (NASH), is associated with liver-damaging inflammation and, sometimes, the formation of fibrous tissue. In some cases, this can progress either to cirrhosis, which can produce progressive, irreversible liver scarring, or to liver cancer.

      Nonalcoholic fatty liver disease affects all age groups, including children. Most often, it's diagnosed in middle-aged people who are overweight or obese, and who may also have diabetes and elevated cholesterol and triglyceride levels.

      With the increasing incidence of obesity and diabetes in Western countries, nonalcoholic fatty liver disease has become a growing problem. Although its true prevalence is unknown, some estimates suggest it may affect as many as one-third of American adults.

      Because early-stage nonalcoholic fatty liver disease rarely causes any symptoms, it's often detected because of abnormal results of liver tests done for unrelated issues. Treatments for nonalcoholic fatty liver disease include weight loss, exercise, improved diabetes control and the use of cholesterol-lowering medications

  15. QUESTION:
    What is your opinion: ultrasound findings of Diffuse Hepatocellular Disease?
    I went to a gastroenterologist back in Oct of 2010 because of pain and bloating that I was having in my upper abdomen and a 12 year history of almost daily diarrhea. I had a colonoscopy in about 1992 and again in about 2004 (all different doctors through the years because of changing of insurances) and both colonoscopies were negative for disease, even the couple dozen biopsies the one gastro dr took in 2004.

    The gastro dr I saw this last Oct '10 ordered an ultrasound of my abdomen and a liver function test (blood test). The dr told me that the report said that I have a "very very fatty liver" and "everything else looks good". He said because of my age (female, 51 yr old), that I should have a colonoscopy. I've been putting it off because I don't like this dr. And he said that because of my pain and fatty liver, I should get a hepatitis test, so I did and came back normal.

    I got to thinking about how important it probably is for me to get a colonoscopy done but because I don't like this gastro dr, I am going to go to a different one. (Yes I know I should have taken care of this last October) So I called his office last week and asked for a copy of my ultrasound report so I would have that in hand when I go to see a different gastro dr. I got the report in the mail the other day and was shocked to see that it says "Impression: 1. Increased echogenicity of the liver consistent with diffuse hepatocellular disease and raising the possibility of fatty infiltration. 2. Otherwise unremarkable ultrasound examination of the abdomen."

    That dr never discussed "diffuse hepatocellular disease". He only said I have a fatty liver. By the way, I had other blood tests done at the same time that my regular dr had ordered and the lab sent ALL of the blood test results to the gastro dr AND my PCP. I saw the gastro dr first and he told me that ALL of my tests were all normal, when they clearly are not. Here are my blood test results:

    RDW 15.4 (11.5-14.5 %)
    Monocytes 0.7 (0.11-0.59 thou/uL) (I have not been sick)
    Carbon Dioxide 33 (22-30 mmol/L)
    AST 52 (14-36 U/L)
    ALT 63 (7-56 U/L)
    And my GFR-MDRD is 70 (Greater than 90 mL/min/1.73 m2)
    (I read that a score of 70 means that I have mild kidney damage)
    These results were normal but at the high end of normal:
    WBC was 9.1 (4.8-10.8)
    Sodium 145 (137-145 mmol/L)
    Glucose 100 (70-110 mg/dL) (this was after a 13 hour fast)
    Cholesterol was good at 159 but the other lipid results were not good.

    I read that Diffuse Hepatocellular Disease is either caused by infection or cancer. So since my blood test for Hepatitis was normal... does this mean the possibility for cancer is raised? What do you think of all this? As mentioned in another yahoo answers post I made last year, I did have an ANA test done in about 2004 and it showed 1:80 Speckled Pattern.
    I drink alcohol maybe 1 to 3 times a year at the most. When I do drink, I usually don't even drink half of a bottle of beer or half a glass of a margarita (Mexican Restaurant). My husband always finishes it for me LOL. I did get flat out drunk one time when I was a teenager but that's the only time I can ever remember getting drunk.

    I do take about 6 prescriptions daily for a bad heart valve, allergies, asthma, etc. I do not take street drugs although I experimented with drugs as a teenager (mostly marijuana) and I have never used intravenous drugs.
    I am approx. 100 pounds overweight, most of it gained in the last 12 years. Before that, almost my whole life I was extremely thin..... I am 5' 8" and 251 pounds with a medium build.
    abijann, are you saying that Diffuse Hepatocellular Disease can also just be a simple case of Fatty Liver? I thought it only means infection or cancer...

    • ANSWER:
      Fatty liver disease can be caused by different
      reasons:
      weight gain, fast weight loss, obesity,
      malnourishment, diabetes, insulin resistance,
      certain types of drugs (like steriods),
      high cholesterol/triglyceride levels,
      alcohol consumption, chemical exposure and
      others.

      Fat inside the liver usually starts out as being
      "simple fatty liver" that doesn't cause a problem.
      However, if the fat continues to build up inside
      the liver, the fat causes pressure inside the
      liver and causes liver cell damage.
      The immune system of the body may respond
      to this damage and cause inflammation to
      develop inside the liver. This is then known
      as Steatohepatitis. Steato stands for fat,
      hepat stands for liver, and itis stands for
      inflammation. It is much more serious, then.
      [Hepato means liver, and cellular means the
      liver cells]
      The inflammation inside the liver caused
      by the fat build up can lead to the liver
      enlarging in size. This is best seen on
      an ultrasound or Ct scan.

      Fatty liver is just one of the causes of liver
      cell damage; some other are alcohol
      consumption, medication toxification,
      chemical exposure, mushroom poisoning,
      biliary problem, metabolic disease,
      hereditary conditions, viral or parasite
      infections, cysts/growth/tumors/cancer,
      and many others.

      If there is inflammation inside the liver,
      if the cause isn't found and stopped...
      it can lead to where the liver cells die off and
      form scar tissue inside the liver...this then becomes
      an irreversible, progressive disease known as
      Cirrhosis of the liver.

      I believe you need to find a doctor who you are
      comfortable with and can trust and follow whatever
      advice he give you...he may place you on a special
      diet; if this is the true cause. It would be best to
      be referred to a dietitian who will take into account
      all your medical conditions. Your liver enzymes:
      the ALT and AST are slightly high. However, they
      also check the liver function tests and liver viral
      tests and also the liver cancer test...before making
      a diagnosis.

      Here are some links to click on to learn more about
      fatty liver disease:
      http://yourtotalhealth.ivillage.com/fatty-liver.html
      http://en.wikipedia.org/wiki/Fatty_liver
      http://www.gastro.com/Gastro/liverdisease/fatty_liver.aspx
      http://www.medicinenet.com/fatty_liver/article.htm
      http://www.liverdoctor.com/index.php?page=fatty-liver

      Some terms to understand while reading:
      NASH is non alcoholic causes of steatohepatitis (which
      I mentioned above)
      NAFLD is non alcohol causes of fatty liver disease
      Hepatitis is inflammation of the liver because of any
      number of reasons.
      Hepatitis with a letter after it (like Hepatitis A,B,C) is
      a virus that enters the body and uses the liver cells
      to replicate itself
      Cirrhosis is Death of the liver cells and scar tissue
      formation inside the liver.

      The ANA test is usually done to determine if you have
      an autoimmune disease. That means that you immune
      system may be attacking your own living cells. Each
      cells has its own marker that the immune system
      recognizes as being us....most of the time, they don't
      know why the immune system turns on its own patient.
      Here is some information from this site that explains
      your results a little better:
      http://www.medterms.com/script/main/art.asp?articlekey=2232
      Quoting from this site; something to think about and ask
      your doctor:
      "ANAs are present in approximately 5% of the normal population,
      usually in low titers (low levels). These persons have no disease.
      Titers of lower than 1:80 are less likely to be significant.
      Even higher titers are insignificant with aging over age 60 years.
      Ultimately, the ANA result must be interpreted in the specific
      context of the symptoms and other test results for the patient.
      It may or may not be significant in an individual.

      All liver patients are told, No alcohol. To be sure each
      and every doctor knows what medications you are taking
      (as medications goes through the liver first, to be broken
      down, before going to the rest of the body).
      When stating medications, this includes over the counter,
      herbs, vitamins, minerals, supplements, etc...besides
      your prescribed ones. Medications have to be watched
      closely for the dosage if there is liver cells damage.
      The liver cells are what does the function of the liver.

      I hope this information has been of help to you.
      Best wishes

  16. QUESTION:
    Could elevated ALT come from gallbladder polyp?
    40 year old male. Five months ago I had some gas pains on my left side (pain has gone away), they did an ultrasound and saw a 3mm polyp on my gallbladder and diffused fatty liver (neither were concerns for my issue). Follow up was called for in 1 year for polyp. Last week I had a routine blood test, ALT was 81, all other levels were fine. Took another blood test 3 days later, ALT was 87, but Hepatatis panel came back fine. I am 6 foot, 225. I rarely drink. I was told to change my diet, and come back in 3 months to test again. Does this seem reasonable?

    • ANSWER:
      That is a fairly high ALT level. The normal things that account for a raised level like alcohol or exercise won't really make a difference quite like that. Unless of course you binged the night before or ran a marathon prior to the test.

      The polyp and liver damage could both account for the ALT levels. Where was the polyp on your gallbladder? If it was or is constricting your bile duct, that's what's doing the damage. If that's the case, then you should get that taken care of immediately. You don't want to start poisoning yourself with that backflow of bile.

      Question: do you have a history of diabetes in your family? A recent study showed that fluctuating ALT levels to that magnitude showed signs of an onset of diabetes. If there's no history, with those mood swings your body's going through, you still may develop it. Get checked for that as well.

      But then again, if you already do have diabetes, that's the reason for the changes.

      As for the diet change- it's not unreasonable, but then again it's not exactly called for in the instance that your organs are doing the damage because your diet change won't do squat to help you out. If it's because of diabetes, then the diet may actually help a lot.

  17. QUESTION:
    Can anybody especially a doctor answer this for me?
    My friend needs help figuring out what her tests results mean. She had tests done on her pancreas and liver and this is what the results said...

    -the liver shows decreased signal in out of phase compared to interface suggesting diffuse fatty liver

    -pancreatic duct is mildy irregular most significant at the tail suggesting chronic pancreatitis preserved pancreatic exocrine function

    -mild irregularity in the duct at the tail with visualization of some of the side branches

    -questionable mild parenchymal signal loss in the pancreatic body

    Can anyone help clear up what all that means?
    Please and Thank You
    She isnt a drinker

    • ANSWER:
      She needs to lay off the booze.

  18. QUESTION:
    sonogram of liver and gallbladder?
    the liver is heterogeneous with attenuation consistent with diffuse hepatic fatty change, 2.2 cm in length in the midaxillary line

    • ANSWER:

  19. QUESTION:
    Science Help! Urgent!?
    We're supposed to state what is wrong with the liver functions of different people giving different statements.
    Two statement I dont get what they mean-
    The liver shows diffuse increase echogenicity consistent with fatty liver..

    And another
    The liver shows no signs of hepatic lesions.

    HELP!!

    • ANSWER:
      The patient has had a sonogram of the liver showing a condition called: Fatty liver (also known as steatorrhoeic hepatosis or steatosis hepatis) is a reversible condition where large vacuoles of triglyceride fat accumulate in liver cells via the process of steatosis. That is there are 'balls' of fat stored throughout the liver.
      The other phrase, no signs of hepatic lesions - means there is no cancer or other nasty pathology.
      If the person stops drinking alcohol and eats a healthy diet they will likely reverse their problems.

      Hope that helps.

  20. QUESTION:
    I need a Dr. to interpret my CT Report. I had an ULQ CT done. I have left upper, and lower quadrant pain.?
    I had an ULQ CT done. I have left upper, and lower quadrant pain. H. Pylori Positive.
    this is a brief detail on my report:
    1. diffuse fatty infiltration of the liver, with an area of focal fatty infiltration adjacent to the falciform ligament.
    2. Low attenuation 2.1 cm splenic mass, most likely a simple splenic cyst or a lymphangioma. Clinical correlation recommeded.
    3. Minimal umbilical hernia, containing only fat.
    The liver is of diffusely diminished attenuation consistent with diffuse fatty infiltration. minimal area of focal hypodensity adjacent to the falciform ligament consistent with an area of focal fatty infiltration.
    The Spleen is not enlarged, but demonstrates a hypodense, near water density of +18HU (mass 2.1 cm size) posterosuperiorly in a subcapsular location. There is no asociated calcification or fill in on the delayed images. This is most likely represents a simple splenc cyst or lymphangioma.
    Please hlp what does this all mean?

    • ANSWER:
      It says that you have a fatty liver. There are many causes of fatty liver, the most common being alcoholism and obesity. This condition occurs when the liver is not metabolizing fat effectively. I found a Wikipedia article that lists some of the causes; see the first link. The condition is reversible if the cause can be treated.

      The radiologist feels that he cyst on the spleen is not a concern. "Lymphangioma" is an abnormal collection of lymph vessels that is present from birth, not anything to be concerned about.

      The umbilical hernia is small. Such hernias are not a concern unless there are associated symptoms. Nothing to worry about.

      It is not common for fatty liver to cause pain, except that some people feel a dull LUQ pain. Since you also have lower quadrant pain, further testing may be necessary to find the cause.

      The positive H. pylori is probably meaningless, unless you have an ulcer. About half the population carries it.

      I have found a bunch of links for you if you want more detail.

  21. QUESTION:
    What does my CT Scan results mean, I am very worried?
    It says:

    CT OF THE ABDOMEN AND PELVIS WITH CONTRAST

    HISTORY: Abdominal pain.

    FINDINGS: The lung bases are clear.

    There is diffuse fatty infiltration of the liver.

    A 4 mm hypodensity in the posterior cortex of the right kidney is likely a benign cyst. Remaining intraabdominal organs have a normal appearance. There is no free fluid or lymphadenopathy.

    There is a persistent 2.2 cm segment of decreased patency of the sigmoid colon. This is likely due to anatomical variation. There is no proximal dilatation of colonic lumen that would suggest true stricture. Inflammatory or neoplastic mucosal-based lesion is felt to, therefore, be unlikely. Further evaluation could be obtained with barium enema or colonoscopy, if felt to be clinically indicated.

    IMPRESSION:

    1.No acute intraabdominal/pelvic pathology.

    2.2.2 cm segment of lack of normal luminal distention of sigmoid colon, likely representing developmental variant and/or spasm, rather than true persistent stricture. No dilatation of proximal bowel or other evidence to suggest bowel obstruction.
    I am 55 years old, overweight, T2 Diabetic, Don't smoke or drink.
    Thanks Liza. I am still wondering why I am still having some Abdominal discomfort mostly in my lower left side.
    Since the CT results don't sound real bad. I don't see the Dr. again until the 21st.

    • ANSWER:
      Basically, this scan is done as your doc was suspecting some part of your intestine is blocked.

      The lung bases are clear - means no sign of infection in your lungs.

      There is diffuse fatty infiltration of the liver - There are a lot of fats growing at your liver. Obviously, you better admit you are eating a lot of junk food, most likely KFC.

      A 4 mm hypodensity in the posterior cortex of the right kidney is likely a benign cyst - means, at the back of your right kidney, there is a small grow of 4mm. However, the growth contains fluid. So it's most likely to be a cyst and very unlikely to be cancer.

      Remaining intraabdominal organs have a normal appearance. There is no free fluid or lymphadenopathy - means - the rest of the organs inside the territory of tummy, are normal. No free fluid means no serious illness in the tummy eg cancer. No lymph nodes are found there also. That means you are unlikely to be having lymphoma, a type of cancer.

      There is a persistent 2.2 cm segment of decreased patency of the sigmoid colon. - at the large intestine (sigmoid colon), about 30cm from your anus, a part of the intestine of length 2.2cm is not flowing well, the flow is slightly slower as compared to the rest of other parts of the intestine.

      This is likely due to anatomical variation. means - this is likely to be normal due to the position of your body.

      There is no proximal dilatation of colonic lumen that would suggest true stricture. Means - (normally, after the section of blockage eg slow flow, the lower part of the intestine will be bigger.) the intestine after the block is not bigger, means it's not block. Just slower flow.

      Inflammatory or neoplastic mucosal-based lesion is felt to, therefore, be unlikely. means - based on the above findings on the scan, you are unlikely to be having cancer in your intestine. Your intestine is not inflammed also.

      Further evaluation could be obtained with barium enema or colonoscopy, if felt to be clinically indicated. means - if need to be 100% sure what is happening at the slow flow section, will need to be find out by a scope going into your intestine from your anus. Or do a barium enema, whereby a milky radio opague fluid is push into your intestine from anus.

      No acute intraabdominal/pelvic pathology. means - no serious abnormalities found in this region.

      I am 55 years old, overweight, T2 Diabetic, Don't smoke or drink - does not have any effects on the scan.

  22. QUESTION:
    Tiny black particles in sputum?
    My husband is 30 years. He is suffereing from something like Allergic Bronchitis for the past 1 and a half years. He is getting tiny black particles in his sputum during any part of the day. His father was a severe COPD (heavy smoking) patient who passed away three months back. My husband doesn't smoke neither has heavy alcohols. He was having a good athlete body, used to swim daily. I am surprised to see his illness. He has undergone CT chest, both with and without contrast. The report says "LEFT HILUM IS BULKY? VASCULAR PROMINANCE? ADENOPATHY, NO PLEURAL EFFUSION/PLEURAL THICKENING IS SEEN, DIFFUSE FATTY CHANGES IN THE LIVER, FIBROTIC LESIONS ARE SEEN IN THE LUNG APEX ON BOTH SIDES, NO OTHER SIGNIFICANT ABNORMALITY IS SEEN. He is under medication of some medicines and sprays. Doctor is saying there is no need to panic and will be fine soon. If required we shall go for Endoscope. But his health is not getting cured. The problem persists because of which his concentration in work is lost, get tired and irritated soon because of constant spitting. Please advise how to proceed further?
    Hello Doctor,
    My husband is 30 years, working in IT in India. He is getting tiny black particles in his sputum.His father was a severe COPD (heavy smoking) patient who passed away three months back. My husband doesn't smoke neither has heavy alcohols. He was having a good athlete body, used to swim daily. I am surprised to see his illness. He has undergone CT chest, both with and without contrast under supervision of a good cardiologist. The report says "LEFT HILUM IS BULKY? VASCULAR PROMINANCE? ADENOPATHY, NO PLEURAL EFFUSION/PLEURAL THICKENING IS SEEN, DIFFUSE FATTY CHANGES IN THE LIVER, FIBROTIC LESIONS ARE SEEN IN THE LUNG APEX ON BOTH SIDES, NO OTHER SIGNIFICANT ABNORMALITY IS SEEN. He is under medication of some medicines and sprays. Doctor is saying there is no need to panic and will be fine soon. If required we shall go for Endoscope. But his health is not getting cured. The problem persists which is affecting his quality of life.Please advise.

    • ANSWER:

  23. QUESTION:
    Scan report impression shows : "Hepatomegaly with fatty changes"?
    1.Today my dad's scan report shows the above impression.
    2.Then in the liver : Measures 17 cms. Enlarged and shows diffuse increased echotexture.
    No focal lesion of IHBR dilatation method.
    Pancreas: Shows normal echotexture. Main pancreatic duct is not dilated
    What is the meaning for these??? Any doc or experts plz answer!!!!!

    • ANSWER:
      It is meaning ur dad has hepatomegaly ( his liver has been damaged by some toxins, it is can be chemical intoxication due to bad habit or prolonged disease, viruses ( hepatitis, Dengue, etc ) i can not say more till know his life style or story of illness. fatty changes telling more about habits and chronic diseases during . his blood test must show high level cholesterol and bilirubin .
      Any way he need serious treatment ... consulting with specialist and strong diet
      how he feeling? what kind of symptoms he has?
      don't be worry a lot, it is still can be reverse ( no focal lesion - it is good sign , pancreas also did not involved... so no big reason to mind worst).
      but special attention need . as soon as possible.
      take care ur Dad... my best wish.

  24. QUESTION:
    USG- abdomen scan shows impression : 'HEPATOMEGALY WITH FATTY CHANGES'?
    1.Today my dad's scan report shows the above impression.
    2.Then in the liver : Measures 17 cms. Enlarged and shows diffuse increased echotexture.
    No focal lesion of IHBR dilatation method.
    Pancreas: Shows normal echotexture. Main pancreatic duct is not dilated
    What is the meaning for these??? Any doc or experts plz answer!!!!!

    • ANSWER:
      I'm no doctor or person with any medical experience whatsoever, but I can give you some definitions but if I were you, tell your dad to take this report to his doctor and ask the doctor to explain it for him.

      1. Well, this referring to the liver and his liver measure 17cm. Livers in men are usually around 10.5 cm, so this can indicate that your dad's liver has become enlarged. The texture of the liver has also increased, due to inflammation maybe? Depends why your dad was having the scan in the first place.

      2. The Pancreas is grand, and the duct hasn't enlarged. So everything is fine and dandy there.

      My first guess is cancer. My second guess is that your father's liver has inflamed and enlarged, but it hasn't spread to the pancreas.

      Tell your dad to get a doctor to explain this to him, because after all, I might not know anything.

  25. QUESTION:
    question for a radiologist or related person?
    on ultrasound of liver, impression is

    1) " mild diffuse increase in echogenicity without discrete mass "
    2) " increased echogenicity of the parenchymal pattern of the liver suggesting fatty infiltration"

    please explain
    thanks

    • ANSWER:
      It means other than having a fatty liver your liver is fine.

  26. QUESTION:
    Please Help me understand my PET/CT Scan Report?
    I had a major back surgery procedure and have been having chest pain and shortness of breath since the surgery. Here is the Pet Scan That I just had done yesterday;Please Help me understand my Pet Scan Report:
    Findings:
    PET:
    There is homogenous, mildly increased FDG activity associated with an ill-defined anterior mediastinal soft tissue density. This finding in nonspecific and may be related to thymic tissue or rebound thymic hyperplasia. No discrete focal areas of intensely increased uptake within the thymus is identified. Minimal increased uptake is noted within the hilar areas bilaterally, right greater than left, in association with mildly prominent bilateral hilar lymph nodes. This finding is also nonspecific and may be reactive or malignant in etiology. Mild enlargement of the spleen is noted, with increased FDG activity compared with the liver. This finding is also nonspecific given the presenceof diffuse hepatic stestosis. Linear increased activity is noted in association with an anterior abdominal wall surgical scar. The remainder the body demonstrates physiologic uptake of radiopharmaceutical.
    CT Scan:
    There are postsurgical changes related to prior L5 left hemilaminectomy, S1 right hemilaminectomy, and L5-S1 fusion with an L5 right pedical screw, S1 left pedicle screw and interbody spacers at the L4-L5 and L5-S1 levels. A 5mm right lower lobe pulmonary nodule seen on series 3, image 66 is below the resolution of PET. There is diffuse hepatic steatosis, with an area of focal fatty sparing along the medial aspect of the gallbladder fossa. In addition, there is diffuse fatty atrophy of the pancreas.
    IMPRESSION:
    1. Mildly increased homogenous activity associated with an anterior mediastinal soft tissue density likely representing the thymus. This finding is nonspecific and may be related to persistent thymic tissue or thymic hyperplasia. Low-grade malignant involvement cannot be completely excluded. If clinically indicated, further evaluation with chest MRI to attempt to characterize the anterior mediastical soft tissue as thymic tissue can be performed. Alternatively, histologic sampling could be performed if there is a high clinical suspicion of malignancy.
    2. Minimal increased FDG activity associated with mildly prominent bilateral hilar lymph nodes, right greater than left. These findings are also nonspecific and may be reactive or malignant etiology.
    3. Increased FDG activity associated with an enlarged spleen is also nonspecific in the setting of diffuse hepatic steatosis.
    4. 5mm right middle lobe pulmonary nodule unchanged compared with 06/23/2011 chest CT. If the patient has no risk factors for malignancy, a one year follow-up chest CT is recommended. If the patient has risk factors for malignancy, a chest CT in 6 to 12 months is recommended, with additional follow-up chest CT examinations thereafter to document 2 years of stability in the size and appearance of this nodule. At time of future imaging studies, the hilar lymph nodes and anterior mediastinal soft tissue can be re-evaluated.
    DOES THIS MEAN THAT I MAY HAVE CANCER BY ANY CHANCE?????

    • ANSWER:
      It means you need better communication with your doctor as it is their job to explain this to you.
      You recently had surgery.
      You are fine.

  27. QUESTION:
    Can someone translate my ct scan and tell me if it's bad?
    I have non-hodgkins lymphoma. I've had 7 cyles of chemo. This is what my most recent ct scan report said:

    A large anterior mediastinal mass measures approximately 9cm transverse x 4cm AP x 8cm CC. This likely corresponds to the underlying lymphoma. A small to moderate pericardial effusion is seen. At the left base medially parallel to the descending aorta, there is a 3cm rounded density without significant air bronchograms. Multiple small scattered foci of interstitial edema or infiltrates are seen at the left and right upper lobes surrounding the mediastinal mass, probably related to underlying tumor. DIffuse scattered pulmonary micronodules are also identified bilaterally. The airways are patent. Heart size is normal. No large consolidation or effusion is seen. A 2cm area of low attenuation is noted in the left lobe of liver, adjacent to the falciform ligament, probably focal fatty infiltration.

    Please translate the medical words to english and tell me if it is bad. Thanks!
    P.S. Please do not answer if you have no idea. Thank you!

    • ANSWER:
      A large anterior mediastinal mass measures approximately 9cm transverse x 4cm AP x 8cm CC (mass in the chest area)

      A small to moderate pericardial effusion is seen (fluid around the heart)

      At the left base medially parallel to the descending aorta, there is a 3cm rounded density without significant air bronchograms (density lacking air is seen)

      Multiple small scattered foci of interstitial edema or infiltrates are seen at the left and right upper lobes surrounding the mediastinal mass, probably related to underlying tumor (fluids around the tumor)

      DIffuse scattered pulmonary micronodules are also identified bilaterally (nodules are seen in lungs)

      The airways are patent (airway is fine)

      A 2cm area of low attenuation is noted in the left lobe of liver adjacent to the falciform ligament, probably focal fatty infiltration (fatty mass in liver)

      That is just my interpretation, definitely check with your doctor to make sure you understand it better.