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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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My wife (aged 57) recently had an ultrasound scan to look for

Resolved Question:

My wife (aged 57) recently had an ultrasound scan to look for gallstones. The scan detected a lesion on her liver. A contrast enhanced ultrasound scan was then done but produced inconclusive results. A CT scan was then requested. The lesion being investigated was noted as "adjacent to falciform ligament". What would be the likelihood of this lesion being malignant ? Thank you.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr Basu replied 3 years ago.

Dr Basu :

Hi there,
This is Dr Basu Specialist, experienced in Gastrointestinal Diseases.
I am here to address your concerns and provide great service.

Dr Basu :

Do you have some more information on the lesion from the ultrasound?

Customer:

No - only that so far it has not been successfully indetified

Dr Basu :

Ok.

Dr Basu :

What about her liver enzymes? are they normal?

Customer:

Blood samples have been taken but results not yet received

Dr Basu :

Does she have any symptoms?

Dr Basu :

Also doe you know if the size of the lesion is less than 1 cm?

Customer:

She has symptoms that her GP believes are due to gallstones. Gallstones were identified on the first ultrasound. The lesion was discovered incidentally whilst the gallbladder ultrasound was being done.

Dr Basu :

Ok.

Dr Basu :

Now does the ultrasound mention the size of the lesion?

Customer:

No sorry don't know the size. The only information I have is on the card she was given to make the ct scan appointment

Dr Basu :

Ok.

Dr Basu :

In most cases this can be hemangioma or benign cyst.

Dr Basu :

The location does not really matter.

Dr Basu :

But since there is no other lesion, or presumably this is not a big lesion, the risk of malignancy is low.

Dr Basu :

However, a triple phase Ct scan with contrast is recommended for further evaluation.

Customer:

I did read that adjacent to falciform ligament is an area where commonly "lesions" are often detected which are actually to do with fat and are not tumours at all. But obvioulsy as I'm not a doctor I don't understand the technical side of this. A ct scan was carried out last week but no results yet.

Dr Basu :

Ok --so far I do not see anything concerning.

Dr Basu :

Please try to find out the Ct scan result --that should be reassuring.

Customer:

Should get results Thursday. Have been worried due to the speed at which the various scans have been done - all within a week or two of each other

Dr Basu :

I understand that.

Dr Basu :

But that is good to establish the diagnosis.

Dr Basu :

The chances of being a benign lesion is very high.

Dr Basu :

I will not worry about malignancy.

Dr Basu :

Any further questions?

Customer:

No I guess we'll need to see what the CT has found. Thank you.

Dr Basu :

Very welcome

Dr Basu :

It was my pleasure to help you today.
I am Dr Basu experienced in Gastrointestinal Diseases.
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