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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8770
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.
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Kindest Regards

Dr. SH and 3 other Medical Specialists are ready to help you