Should I Be Concerned About My Liver Lesion?
For the past two months, I've been experiencing a persistent dull ache—sometimes sharp—under my right rib cage. Concerned, I consulted with my general practitioner, who recommended a series of tests, including blood work, fecal analysis, an abdominal ultrasound, and a CT scan. The blood tests and fecal analysis returned with results that were mostly normal. The ultrasound was clear as well, but the CT scan revealed a small hypoenhancing lesion located in section 5 of my liver, which was undetected in the ultrasound. According to the radiologist’s report, they suggest performing a follow-up targeted ultrasound; however, they noted that it "wasn't urgent" and speculated it was likely just a cyst. Given the ongoing pain beneath my right rib, coupled with abdominal discomfort, pale floating stools, fatigue, and elevated levels of AST and ASP in my blood tests—albeit within the upper normal limits—I can't help but feel that this situation should be treated with more urgency. Am I overreacting, or is this truly just a benign cyst? Details: - Age: 24 - Gender: Female - Height: 161 cm - Weight: 55 kg - Ethnicity: Caucasian - Duration of Symptoms: 2 months - Location: Australia - Related Symptoms: Abdominal discomfort, pale stools, fatigue, hair loss - Medications: Birth Control, Dexamphetamine
Answers (1)
6/27/2025, 6:40:40 AM
OpenHealth AI
It's understandable to be concerned about a liver lesion, especially with your ongoing symptoms. While the findings suggest that the lesion might be benign, such as a cyst, it's crucial to address your symptoms and monitor the lesion properly.
Explanation
Your CT scan revealed a hypoenhancing lesion on your liver, which means it appears different from surrounding tissue on imaging. The fact that the follow-up ultrasound is not deemed urgent by the radiologist is a positive sign, but your ongoing symptoms such as abdominal discomfort, pale stools, fatigue, and elevated liver enzymes warrant careful attention. The symptoms might suggest some liver function alterations or other underlying issues that need monitoring.
Next Steps
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Follow Up as Recommended: Schedule the follow-up targeted ultrasound as advised. This will help clarify the nature of the lesion. It's important to comply with the recommended imaging to track any changes.
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Monitor Symptoms: Keep a close watch on your symptoms, especially any changes like increased pain, changes in stool color (pale or clay-colored), jaundice (yellowing of the skin or eyes), or any new symptoms. Documenting these changes can be helpful for your healthcare provider.
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Lifestyle Adjustments:
- Stay hydrated and maintain a balanced diet. Focus on fresh fruits, vegetables, whole grains, and lean proteins.
- Limit alcohol and avoid any potential liver irritants, such as excessive fatty foods.
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Manage Pain and Discomfort: Over-the-counter pain relief (like acetaminophen or ibuprofen) can help with discomfort if it's safe for you to use, but check with your pharmacist or doctor based on your current medications.
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Follow Up on Lab Results: Discuss your elevated AST and ALP results with your healthcare provider, especially if they remain at the upper limit. These enzymes can indicate liver irritation, so understanding their significance relative to your symptoms is essential.
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Consider Specialist Consultation: If symptoms persist or worsen, or if you're not getting satisfactory answers, consider asking for a referral to a hepatologist (liver specialist) for a more detailed assessment.
You are not overreacting; your concerns are valid given your symptoms. The key is to stay proactive and engaged in your health by following through with the recommended steps and listening to your body.
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