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Ask Dr. Natasha Your Own Question
Dr. Natasha
Dr. Natasha, Doctor
Category: Medical
Satisfied Customers: 12910
Experience:  American Board Certified in Emergency Medicine, Ivy League trained
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What would luver mri show?

Customer Question

What would luver mri show?
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Natasha replied 3 years ago.

Dr. Natasha :

hello

Dr. Natasha :

are you still there?

Dr. Natasha :

If so please enter the chat and say hi :_)

Dr. Natasha :

:-)

JACUSTOMER-2m525tpb- : Hi
Dr. Natasha :

A liver (I think you mean) MRI is undertaken for the detection and characterization of suspected primary or secondary cancers, prior to planning a surgery or chemotherapy pump placement, for assessing treatment response, for evaluating biliary pathology, and for screening for liver neoplasms in high-risk groups. As well, it is used for characterizing specific liver tumors, such as fibronodular hyperplasia, hepatic adenoma and hepatocellular cancer, depending on the type of contrast used

JACUSTOMER-2m525tpb- : I have right sided chest pain radiating to under right shoulder blade, nausea and fatigue
Dr. Natasha :

right, they are looking for any thing going on in the liver- it is a very detailed screening tool

JACUSTOMER-2m525tpb- : have had 2 x uktrasounds, normal apart from some gallbladder sludge, 1 x mri which showed normal liver, pancreas spleen and biliary system.
Dr. Natasha :

There is no way for me to tell you what you have without the MRI

Dr. Natasha :

You may want to get a HIDA scan of the gallbladder *nuclear (*

JACUSTOMER-2m525tpb- : Lfts normal mall apart from slightly raised lfts at 140
Dr. Natasha :

(nuclear imaging to assess gallbladder function)

Dr. Natasha :

You may want to get a HIDA scan of the gallbladder *nuclear (*

1:53 PM

(nuclear imaging to assess gallbladder function)

JACUSTOMER-2m525tpb- : but if I had liver damage/cirhossis would something show on the ultrasound or mri? You say the mri is just for detection of cancer?
Dr. Natasha :

MRI is also used for "for evaluating biliary pathology"

Dr. Natasha :

basically it is awesome for everything

Dr. Natasha :

so, yes any liver damage/cirrhosis would show

JACUSTOMER-2m525tpb- : What about ultrasound, what types of liver complaints can it show
Dr. Natasha :

ultrasound is for cirrhosis, masses, bile duct dilitation

Dr. Natasha :

it is less detailed than the MRI

JACUSTOMER-2m525tpb- : Would ultrasound or mri show liver inflammation?
Dr. Natasha :

MRI would be better for that

JACUSTOMER-2m525tpb- : Could it also be seen on ultrasound
Dr. Natasha :

not as well, it can

Dr. Natasha :

the MRI would be better

Dr. Natasha :

think of a black and white TV set

Dr. Natasha :

and then compare it to a HDTV in color

JACUSTOMER-2m525tpb- : Would ultrasound show enlarged. Livet
Dr. Natasha :

can you see the same show? generally most of it- but the detail is sooo much better with the MRI

Dr. Natasha :

yes, it would show an enlarged liver

JACUSTOMER-2m525tpb- : What could my problem be?
Dr. Natasha :

well, with those other results being normal, I think that you may have gallbladder dysfunction

Dr. Natasha :

and I would suggest getting the HIDA scan

JACUSTOMER-2m525tpb- : Ithe right shoulder blade, back and chest pain is most bothersome with nausea. At times if I press on the tummy below the rib age it is tender, I feel very sick when this happens. During these times I often feel the urge to have a bowel movement. My stools however are not abnormal in colour but are far more frequent even though I often don't manage to eat much.
Dr. Natasha :

Well, it sounds like you need more evaluation by a GI doctor

Dr. Natasha :

but did I answer your original question?

JACUSTOMER-2m525tpb- : certain things make the symptoms worse, dairy, chocolate and sometimes alcohol. I've had an upper endoscopy which was normal , alp was 140, what does this mean?
JACUSTOMER-2m525tpb- : also is it possible to have gallbladder dysfunction without. Stones
Dr. Natasha :

Yes, you can have gallbladder dysfunction without stones

Dr. Natasha :

I would suggest getting the HIDA scan- it sounds like it could be gallbladder dysfunction

JACUSTOMER-2m525tpb- : Thank you, almost done, can fasting for long periods cause gallbladder dysfunction? Or having a baby?
Dr. Natasha :

yes and yes

Dr. Natasha :

did I provide you with excellent service

JACUSTOMER-2m525tpb- : Almost, how does fasting cause this?
Dr. Natasha :

fasting may cause the gallbladder to contract less and slows movment

Dr. Natasha :

did I provide you with excellent service?

Dr. Natasha :

hello

Expert:  Dr. Natasha replied 3 years ago.
Nicola
it appears that our chat did not close properly.
Was there something else you needed or did I provide you with excellent service?