Understanding Liver Perfusion Results
Hello everyone. I recently received the findings from a CT scan that was prompted by blood tests indicating a raised lipase level of 89. Although some sources suggest this is within a standard range, my physician considers it elevated. The scan report states: **Liver:** **Perfusional variation as opposed to focal fatty deposition located in the anterior section of the left liver near the falciform ligament. There are no concerning focal lesions.** My doctor has referred me to a gastroenterologist, but he did not provide much clarity on these results, and my appointment is not scheduled until the end of May. Can anyone help interpret these findings? A bit about myself: I am a 58-year-old female with a normal BMI, weighing 118 lbs and standing 5 feet tall. I do not smoke or drink alcohol. Currently, I am taking hormone replacement therapy at the lowest estrogen dose, Zoloft 25 mg for anxiety, and a statin at 20 mg for cholesterol management. I appreciate any insights you may have ahead of my appointment!
Answers (1)
3/18/2025, 1:40:40 PM
OpenHealth AI
Your CT scan results indicate some variations in blood flow to your liver rather than concerning issues like fatty deposits or lesions, which is a positive sign. The raised lipase level suggests that there may be underlying concerns, but it's important to remember that many factors can contribute to elevated lipase levels.
Explanation
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Perfusional Variation: This means the way blood is flowing in your liver is not uniform. It doesn’t necessarily indicate a disease but could suggest that there are areas with different blood supply, which can occur for various reasons.
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Focal Fatty Deposition: The term "focal fatty deposition" refers to localized areas where fat accumulates in the liver. Your report suggests that there are no significant fatty deposits causing concern.
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Raised Lipase Levels: A lipase level of 89 may be considered slightly elevated based on the reference range your doctor uses. Lipase is an enzyme that helps in breaking down fats, and levels can rise due to several conditions, including pancreatitis, but can also vary with other factors like medication or systemic conditions.
Next Steps
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Monitor Your Symptoms: Keep a diary of any symptoms you experience related to digestion, abdominal pain, or significant changes in health. Note any patterns or triggering foods.
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Avoid High-Fat Meals: Since your liver's function can be related to fat processing, try to reduce your intake of high-fat foods until you have more clarity.
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Stay Hydrated: Ensure you drink plenty of water, as hydration can assist overall liver function.
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Review Medications: Given you're on hormone therapy and a statin, consider discussing with your doctor any potential interactions or side effects that could be affecting your liver enzymes.
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Prepare for the Gastroenterologist Appointment: Jot down questions and concerns about your results and past medical history to discuss with your gastroenterologist when you meet.
While it’s understandable to be anxious waiting for your appointment, it sounds like the findings from your scan are not immediately concerning. The gastroenterologist will be able to provide you with a more comprehensive evaluation based on your complete health picture. In the meantime, focusing on the steps above can help you manage your health proactively.
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