Ultrasound scan after a CT Scan.

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Trev
Regular Member


Date Joined Jun 2006
Total Posts : 57
   Posted 10/25/2011 3:25 PM (GMT -6)   
Ok i am not sure where to post this but since hep is to do with the liver thought i would put it here.

It all started when the doc found microscopic blood in the urine via a urine sample that's no visable to the naked eye.

He sent me off to see the urologist (6 week's wait) and he recommended that i have a CT Urogram no mention of a Ultrasound scan, so 2 week's pass and i have my CT Scan.

£ week's later i recieved nothing about result's just a letter in the post saying they want to do an abdominal ultrasound scan, so i go to the hospital today and she say's ok where going to look at your liver (then i thought why) anyway's after the first scan she said i can't see anything wrong and said she needed to speak to the radiographer to find the exact location of the abnormality (this is when i freaked out first i knew what was going on was there) anyway's she come back and done another scan and same result's she couldn't find anything wrong.

Now i was wondering can a CT Scan sometime's show thing's that are not there? And that's why i was ordered an ultrasound scan to make sure everything was ok?

Also does anyone know if on a CT Urogram does the liver get scanned also?

Sorry if this is in the wrong location.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 10/25/2011 5:38 PM (GMT -6)   
Welcome, Trev, though I'm not sure this is the forum for you. A CT scan can show tumors, and you can get a false reading from your previous scans. In other words, they were trying to look more closely at any abnormality; however, none was seen. If you still have concerns, you might ask for an abdominal MRI with contrast. That will show liver, pancreas, gall bladder,bladder, etc.

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Trev
Regular Member


Date Joined Jun 2006
Total Posts : 57
   Posted 10/25/2011 5:44 PM (GMT -6)   
Thank's for the reply hep93,

Yeah i wasn't sure this was the right forum just needed to get it off my chest. I still don't understand how a kidney/bladder CT Urogram can scan my liver aswell which is where this has gone.

I do have Fatty Liver can this show on a CT Scan as an abnormality?

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 10/25/2011 6:41 PM (GMT -6)   
I'm not sure about that, Trev. But if you have fatty liver, you belong here. Our resident expert on Autoimmune hep, PBC, and fatty liver is my co-moderator, Dany.

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

DGinSD
Forum Moderator


Date Joined Apr 2007
Total Posts : 848
   Posted 10/25/2011 9:14 PM (GMT -6)   
Trev,
 
Welcome!  So how was your fatty liver diagnosed?  Fatty liver shows up on CT as a less dense liver since there is fat scattered within the liver.  Regarding your CT urogram, since the kidneys are higher up and generally, the right kidney is higher than the left kidney, it is possible that a visual of the liver can be made at the same time.  Your fatty liver however, does not explain the microscopic hematuria (blood in urine).  So have they run a follow up urine sample?  Do you have any stones or crystals at all?
 
Re this "abnormality"...what did they describe it as?  Are you saying they found it on the CT scan but didn't see anything on the ultrasound?  I'm sorry if I didn't understand you initially but what I am understanding is that you had the urogram, an abnormaility was seen in your liver and they sent you for the ultrasound that didn't find anything....correct?
Dany
Co-Moderator - Hepatitis
___________________________________________________
AIH Jan 2007
CMV June 2008
Raynaud's February 2010
Meds: Azathioprine 100mg & Ursodiol 250mg BID

Trev
Regular Member


Date Joined Jun 2006
Total Posts : 57
   Posted 10/25/2011 10:08 PM (GMT -6)   
Thank's for the reply Dany,

I had a ultrasound scan done about 4 year's ago and was diagnosed with fatty liver which was causing my ALT level's to increase.

I am seeing an uroligist which is the reason i got a urogram done and still havn't found the route of the probelm with the microscopic hematuria i see him on Friday but nothing was mentioned about the CT Scan if they found any stone's.

about the abnormaility she didn't desribe it she said that i was refered for a ultrasound scan because they seen something on the CT Scan on my liver that needed checked.

Yeah that is correct that basically i had my urogram and they refered me without letting me know what's going on for a ultrasound scan (which i thought was to do with my kidney's) she scanned me the first time couldn't find what she was looking for so went to speak to someone about the CT Scan i had done come back and said she still couldn't find anything wrong.

So could fatty liver be classed as an abnormality?

And if they was anything to worry about surely it would have showed on the Ultrasound scan?

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 10/26/2011 12:00 AM (GMT -6)   
Trev, are you overweight? That kind of goes hand-in-hand with fatty liver. Heavy alcohol use can also cause it. And yes, fatty liver is an abnormality and can be quite serious. I'd suggest losing weight if you need to, and also abstaining from greasy or fatty foods.

I'm sure that Dany will have more answers for you.

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Trev
Regular Member


Date Joined Jun 2006
Total Posts : 57
   Posted 10/26/2011 5:45 AM (GMT -6)   
Yeah Connie i am about 4 stone overweight give or take but when diagnosed was like 7 stone overweight nearly 19 stone but am 6ft 2in so not a little barrell lol....

Anyhow i rang up the ultrasound people that done my scan yesterday and finally got some answer's, while CT scanning my kidney's/bladder they found a 15mm cyst on my liver and that's why i was brung in for an ultrasound scan.

Is it normal for a cyst not to appear on the ultrasound scan? And is it anything to worry about?

DGinSD
Forum Moderator


Date Joined Apr 2007
Total Posts : 848
   Posted 10/26/2011 10:39 AM (GMT -6)   

Trev,

There are a lot of things that contribute to fatty liver but excess weight is the biggest - no pun intended tongue   (I was told not to gain any weight as I am at higher risk for fatty liver having one disorder that affects my liver).  There are 2 types of fatty liver problems that are not alcohol related...NAFLD (nonalcoholic fatty liver disease) and NASH (nonalcoholic steatohepatitis).  People with NAFLD can develop NASH which is a very serious condition.  Fatty liver on its own may not cause more damage to the liver but it is best to try to keep your liver healthy by keeping up with your weight loss goals. 

That said, that wasn't what the "abnormality" they found was...it was your cyst.  Again, that could be benign and nothing to worry about so don't worry now.  I do suggest you speak with your doctor about monitoring the cyst.  It should have shown up with the ultrasound (US).  What was the time span between the CT urogram and the abdominal US?  Maybe they saw the cyst on the CT but it was reabsorbed by the time you had the US?  Maybe it wasn't a cyst at all but an artifact and the US proved it didn't exist?  Because of the uncertainty, I would ask for another CT and definitely speak to your docs about your concerns for the discrepancies between the 2 tests.

What are your LFT (ALT and AST) levels like now?


Dany
Co-Moderator - Hepatitis
___________________________________________________
AIH Jan 2007
CMV June 2008
Raynaud's February 2010
Meds: Azathioprine 100mg & Ursodiol 250mg BID

Trev
Regular Member


Date Joined Jun 2006
Total Posts : 57
   Posted 10/26/2011 10:44 AM (GMT -6)   
Yeah i defo need to lose more weight i lost about 2 stone but need to shed more.

Ermm it would have been about a month give or take after i had the CT Scan that i had the ultrasound scan, is it possible that it can disappear in that timeframe?

When i spoke to the lady at the hospital i think they are doing a CT Scan with a contrast dye, what will that prove with the dye?

Well on my last blood test my AST was normal range but my ALT level's have alway's been high around the 100 mark they did come down to around 40 but recently around 70-80 i think was the last test... Is that pretty normal for someone with fatty liver?And is 15mm still classed as small?

Post Edited (Trev) : 10/26/2011 10:57:47 AM (GMT-6)


hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 10/26/2011 12:17 PM (GMT -6)   

Trev, just for my information, how much does a stone translate to in pounds?

A CT with contrast is more accurate than one without it.  I always get contrast for my abdominal CTs and MRIs (tracking a tumor's growth.)

15 mm is about an inch...so not huge.  I had a cancerous tumor in July that was 4.9 cm...quite large--which was shrunk with targeted chemo.  (I'm awaiting transplant.)  Also, regarding your question about a cyst disappearing:  If it's a liquid cyst, it can burst and be absorbed by the body; i.e., disappearing.  I had this happen in my 20s.  I was in terrible pain in my left lower quadrant.  Went to the ER and was told I had an ovarian cyst the size of a grapefruit.  They gave me codeine and when I returned the next day, they didn't see anything.  It had burst.  And it never returned.

An ALT of 70-80 is not terribly high.  When your liver enzymes are triple high normal, there's cause for serious concern.  Obviously, when liver enzymes increase to beyond the normal range, something is going on.  With you, it's probably your fatty liver.

Try not to worry--a cyst isn't serious unless it turns out to be cancerous...only seen in a solid cyst.  Do, however, continue to question your doctor about things you don't understand or questions you may have.

Hugs,

Connie

 


hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Trev
Regular Member


Date Joined Jun 2006
Total Posts : 57
   Posted 10/26/2011 12:35 PM (GMT -6)   
28 pound's i lost could do with losing a few more.

How can the diagnose a cyst? Just by keeping an eye on it?

Also is a 31 year old less chance of it being anything more than a normal cyst?

And sorry btw it feel's like i am asking every question under the sun, but i am a very anxious person.

Post Edited (Trev) : 10/26/2011 3:27:03 PM (GMT-6)


hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 10/26/2011 5:08 PM (GMT -6)   
Congrats on the weight loss!  That's significant!
 
They will want to keep an eye on the cyst through US or CT scan.  If you're worried about cancer, it's not age so much as the underlying disease that puts one at risk; i.e., if you have cirrhosis or hep C then you are more at risk for liver cancer.
 
Take some deeps breaths and know that for now you seem to be okay and are getting good medical care.
 
Hugs,
Conni
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Trev
Regular Member


Date Joined Jun 2006
Total Posts : 57
   Posted 10/28/2011 11:06 AM (GMT -6)   
Just an update,

Seen my uroligist today and he explained that my kidney's come back clear but want's to do the camera down to see my bladder to put a line under it if everything checks out ok.

Now on to the liver he said i have a 15mm growth they are not 100% sure what it is but he said it most likely is a hemangioma which is a collection of vein's on the liver.

But to be certain he want's me to have another CT Scan with contrast.

Also my ALT level has came down to 58.

Is a hemangioma pretty common?

Trying not to worry about it, i guess if the doctor had any worry's he would have sceduled me for a quick CT Scan?

Post Edited (Trev) : 10/28/2011 12:14:39 PM (GMT-6)

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