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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
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Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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I have a hypodense lesion in the liver that is 3.5. cm by 2.4.

Resolved Question:

I have a hypodense lesion in the liver that is 3.5. cm by 2.4. cm that was found on an abdominal CT scan, which does not appear to be cystic. In October I had several pulmonary embolisms. My doctor ordered the scan as he said blood clots can be an early sign of cancer. I am currently being treated for the Sumner Variant of CIDP and take prednisone, Imuran, and IVIG. I have had Doppler studies on my legs and right arm because of a portacath and all have come back negative as the source of the clots. I am being referred to a liver specialist. Is a hypodense liver mass usually caused by a fatty liver (lipoma) or are there other causes for this type of mass? What further studies can I expect to be done? Is a liver biopsy looming in my future? The thought of a liver biopsy scares me
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 2 years ago.
Hello
Do you have the summary part of the CT report that you can type in?
Customer: replied 2 years ago.
In the right hepatic lobe inferiorly, there is a 3.4 by 2.5 cm hypodense mass which is not well characterized without contrast. This mass does not appear to be a simple cyst. In the right hepatic lobe, more inferiorly, there is a 1cm low-density lesion suggestive of a cyst. There is no biliary dilatation. The spleen, pancreas, and adrenal glands are unremarkable.

Impression: indeterminate hypodense MADD in the right hepatic lobe. Recommend further evaluation with MRI of the abdomen without and with contrast to characterize this mass. Adjacent 1 cm hepatic cyst.
Customer: replied 2 years ago.
Oops, meant mass, not MADD
Expert:  Dr. Thomas, MD replied 2 years ago.
OK
I see what happened.
It was done without contrast
So basically you can tell what this is
cancer
hemangioma

about what you can say is that it is probably not a calcified mass.
But you can not say it is cancer at this point
an adenoma
focal nodular hyperplasia

both benign

You'll need the contrast to see, hence the recommendation of Mri with and without contrast.
good luck

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Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56695
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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