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Dr Basu
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47 yr old female ct of abd and pelvis done 2 days ago. revealed

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47 yr old female ct of abd and pelvis done 2 days ago. revealed 2 too small to classify lesions in liver, likely representing tiny cysts. compared with additional ct scan 3 yrs ago when cysts was not present..is this serious? common? do cysts just pop up within 3 yrs?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

Mysticdoc :

Yes liver cysts are common and harmless in most cases.

Mysticdoc :

Tiny cysts are not concerning.

Mysticdoc :

They can grow within 3 yrs.

Mysticdoc :

These cysts are likely blood filled cysts or hemangiomas.

Mysticdoc :

No further work up is necessary.

Mysticdoc :

The cysts can be followed with liver ultrasound after a yr.

Mysticdoc :

Best wishes,

Customer:

What causes them? and the radiologist didnt recommend follow up..but you think I should?

Mysticdoc :

do you take any medication?

Customer:

and if there too small to classify...how can they say likely cysts? this whole deal has made me very anxious. I only take ambien

Customer:

and im a nurse...but this is out of my area...ugh

Customer:

gallbladder removal in 06

Mysticdoc :

ok

Customer:

thats me in a nutshell lol

Mysticdoc :

cysts are more commonly seen in women.

Mysticdoc :

they develop presumably due to the hormone influences estrogen mainly.

Mysticdoc :

They are harmless and rarely cause any symptoms.

Mysticdoc :

most of the time they contain clear fluid but sometimes may contain blood.

Customer:

hmmm, i am going thru the change...havent had a period in 7 mo

Mysticdoc :

These are incidental findings and often do not have any clinical significance.

Mysticdoc :

They are too small to cause any symptoms but can be seen in Ct scan due to the high sensitivity of the test.

Customer:

yea, i found that on google...just was hoping for a little more insight..as to why.

Mysticdoc :

the reason 'why' is not definite.

Customer:

is there a way to keep them from growing?

Customer:

or to get rid of them?

Mysticdoc :

clinically we only worry if the cysts are big or painful or connected to the bile duct.

Mysticdoc :

in these cases there is risk of rupture.

Mysticdoc :

Otherwise in most cases 99% cases, there is no significance.

Mysticdoc :

you cannot get rid of them

Mysticdoc :

there is no medical treatment.

Mysticdoc :

surgical treatment is too risky for small cysts.

Mysticdoc :

so just observation.

Mysticdoc :

I recommended ultrasound for reassurance.

Mysticdoc :

Many patients are understandably worried.

Mysticdoc :

Stable utlrasound is reassuring every yr.

Customer:

ok..lfts were great...and so was cbc...just hate i have to wait a whole year for piece of mind..thanks for answering.

Mysticdoc :

these normal results suggest the benign nature.

Mysticdoc :

Yes, I understand.

Mysticdoc :

But, that is the current recommendation given the rare chances of any complications.

Customer:

thanks again...youve been very nice.

Mysticdoc :

very welcome

Mysticdoc :

It was my pleasure to help you today.


Best wishes,


Please rate the chat Good or Excellent, if you are satisfied with our conversation and do not have any further question, so that I get rewarded for my time & effort. Thank you!


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Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 23078
Experience: MD
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