Liver lesions - 1271107

lisaf
Posts:4

Hello and thank you in advance if you decide to answer my question:

I will try to be as succinct as possible:

2006:

CT scan revealed a few subcentimeter foci of decreased attenuation in liver that were too small to characterize and unchanged. Mild elevation of right hemidiaphragm. 9mm density in right upper lung.

2007: CT chest w/woc:

minimally enhancing hepatic lesion not well visualized. Additional hepatic hypodensity too small for characterization. Right renal hypodensity too small for characterization.

2008: CT Chest w/woc:

Small new 3mm left lower lobe nodule. 5mm enhancing focus in liver which could be vascular/perfusion related phenomenon but other etiologies not excluded. Limited early arterial phase evalutaion of upper abdomen reveals a subcentimeter hypodense lsion in segment 4 of liver, too small to characterize and a 5mm rounded enhancing focus is noted in segment 4B which is indeterminate.

2013: Below didaphragm, visualized portions of abdomen demonstate low attenuation lesions within liver 19.2 x 14.8 mm.

2015: low attenuation lesion within the liver 25.8mm x 24.3mm which are unchanged when compared to previous exam.

My question is, as I am 51 years old, (not a drinker, no Hep B or C, but smoker). Should I see a GI doctor about this or is this a common finding with the liver? I don't want to appear worrying about something that is benign and bothering the doctor about it.

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Reply # - September 11, 2015, 05:17 AM

cards7up
Posts: 636

Can I ask why you're having all these scans? Were you looking at or for something else? This is something only your doctor can answer. This looks like limited growth over 9 years. Might be time for a PET scan. I don't think worrying about your health would or should bother your doctor. Talk with your PCP about follow-up at least for peace of mind.
Take care, Judy
I am not a medical professional or moderator for GRACE. I am a patient with NSCLC for more than 5 years.

Reply # - September 11, 2015, 05:50 AM

lisaf
Posts: 4

Hi Judy and thank you for your response.

I withheld the reasons of the multiple CT scans thinking it would deviate from my primary focus of the liver lesions.

(FYI: I've had multiple pneumothoraces due to cogenital blebs, Two surgeries, first one in 1999 for bilateral VATS, bilateral pleurodesis and bilater apical resections. In 2007 for RML wedge resection for another pneumothorax. During those times, these liver lesions seem to grow or multiply.)

If it's normal, I'm glad to hear it and wont waste anyone else's time. This is why I came here first to ask if it is something I should follow up on or leave it alone.

I suppose if a radiologist or doctor who read the report if they felt any concern, they would say so right?

Thank you again Judy <3

Reply # - September 11, 2015, 06:04 AM

JimC
Posts: 2753

Hi lisaf,

I would agree completely with Judy. I don't think you should worry about "bothering" a doctor; you have specific scan findings and it is perfectly reasonable to follow up on those findings. i also agree that the growth is slow, much slower than a potentially worrisome cancer would usually display.

Good luck in your follow-up, and let us know if you have any further questions.

JimC
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Reply # - September 11, 2015, 06:30 AM

lisaf
Posts: 4

Hi Jim! Thank you so much for taking the time to respond.

And bless both your hearts for all you've been through! (reading the signature tags).

From what I read, (being a momentary google doctor), its basically called incidentalomas (haha), and like fibroids on uterus, they are mostly benign. That was comforting to read.

But I thought I would reach out and make sure if it was something I should go to the doctor for or if the chances are more likely benign and as you said Jim, slow growing and not normal cancer behavior, why even bother? Which is also a great relief :). I need more issues like a hole in the head. LOL.

Thanks so much the both of you!

Lisa

Reply # - September 12, 2015, 03:53 PM

lisaf
Posts: 4

Judy,

Thank you for taking the time to respond again and provide an informative link. I hope you're doing ok.

I made an appointment with my GI doctor and will bring the latest 2 CDs with me and he can compare on the multiplying and growth. I'm sure everything is alright, just will give me a peace of mind is all.

Thank you both again.

Lisa

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