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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8765
Experience:  Doctor of Medicine
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What are solid hyperechoic lesions?

Resolved Question:

What are solid hyperechoic lesions?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. SH replied 2 years ago.
Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

Solid on radiography means without any areas of fluid.

Dr. Shahzad MD :

Hyperechoic means something that appears whiter on radiography.

Dr. Shahzad MD :

If it appears blacker it is called as hypoechoic.

Dr. Shahzad MD :

Can you please let me know if this is a report of CT scan or ultrasound?

Dr. Shahzad MD :

And of which part of the body?

Dr. Shahzad MD :

And why it was done?

Dr. Shahzad MD :

Please let me know.

Dr. Shahzad MD :

Also mention your age and gender please.

Customer:

It was a Ultrasound scan on the right lobe of the liver

Customer:

I'm female and 58 years old

Dr. Shahzad MD :

Why was it done?

Dr. Shahzad MD :

I mean what were your symptoms, if any?

Customer:

I experience pain in that area

Dr. Shahzad MD :

okay

Dr. Shahzad MD :

and have you been referred or any other investigations planned?

Customer:

I have an appointment in the gastroenterology dept, but for 18 weeks,is this urgent?

Dr. Shahzad MD :

How big are the lesions?

Dr. Shahzad MD :

Do you know the size?

Customer:

28x25x26mm the largets

Dr. Shahzad MD :

What has your doctor said, if anything?

Customer:

That all the blood tests are normal ,my liver is smooth in outline and a normal size . The gallbladder may contain probable polypoid leisions

Dr. Shahzad MD :

The most important thing to rule out in lesions such as these is cancer obviously which may require a biopsy.

Dr. Shahzad MD :

Other causes include benign (harmless) causes such as hemangiomas of the liver.

Dr. Shahzad MD :

Cancer in any other part of the body can cause these lesions in the liver by spreading to the liver.

Dr. Shahzad MD :

So these are the main things that should be considered and ruled out.

Dr. Shahzad MD :

Has cancer been mentioned in the 'impression' given in the ultrasound report?

Dr. Shahzad MD :

Are you there?

Customer:

The report says that"it appears more heterogeneous and may represent atypical haemangioma although other pathology cannot be ruled out"

Dr. Shahzad MD :

Yes, like I mentioned hemangioma is a possibility.

Dr. Shahzad MD :

If the report did mention hemangioma then that is the more likely possibiility

Dr. Shahzad MD :

possibility*

Dr. Shahzad MD :

So I would not worry a great deal.

Customer:

What is hemangioma?

Dr. Shahzad MD :

Hemangioma is a harmless tumor of the blood vessels.

Customer:

So what action should I take in the meantime/

Dr. Shahzad MD :

Just pain medications like paracetamol.

Dr. Shahzad MD :

Nothing else.

Customer:

Many Thanks

Dr. Shahzad MD :

You are most welcome
Wish you all the best.
Please do rate me for my services by clicking on one of the smilies below.
Kindest Regards

Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8765
Experience: Doctor of Medicine
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