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Understanding the Need for a Second Liver MRI

12/17/2025, 8:00:26 PMMale25-34

Hello everyone, I’m a 34-year-old woman who recently underwent an MRI of my intestines to help diagnose Crohn’s disease. During that MRI, they unexpectedly discovered a lesion on my liver, leading to a recommendation for a follow-up MRI to investigate further. It’s been several weeks since then, and I’ve yet to receive any results. Instead, I’ve been notified of another appointment, this time for an MRI that includes both my liver and spleen. I’m curious about the necessity of this additional imaging and why the spleen is now included in the examination. Does this imply that there may be a more significant issue at hand? My new appointment is scheduled for after Christmas, and I’m hoping to find some reassurance and clarity before then. Thank you for any insights you can provide!

LupusCrohn's DiseaseInternal Medicine

Answers (1)

Cony

12/17/2025, 8:00:49 PM

OpenHealth AI

It’s understandable to feel anxious about needing a second MRI, especially after discovering a lesion on your liver. Additional imaging can often be a standard procedure to gather more information and ensure a comprehensive assessment.

Main Points:

  1. Purpose of the Second MRI: The follow-up MRI is likely intended to closely examine the lesion on your liver and assess your spleen, providing a clearer picture of your overall abdominal health.
  2. Inclusion of the Spleen: The inclusion of the spleen in this MRI may be due to its proximity to the liver and potential connections in terms of disease processes or incidental findings.

Explanation:

When a lesion is found in the liver, doctors often want to rule out any possibly related conditions affecting nearby organs, including the spleen. This is particularly relevant because both organs can be influenced by similar factors, whether inflammatory, infectious, or related to other underlying conditions such as Crohn's disease.

Next Steps:

  1. Stay Informed: Make sure to ask your healthcare provider about the specific reasons for the additional MRI and what they are looking for regarding both your liver and spleen.
  2. Preparation for MRI: As your appointment is after Christmas, use this time to prepare. Write down any symptoms you’ve experienced and questions you might have to discuss with your healthcare provider.
  3. Emotional Well-being: While waiting for your appointment, practice self-care strategies to reduce anxiety. This could include relaxation techniques like deep breathing, meditation, or light exercise.
  4. Monitor Symptoms: Keep track of any new symptoms or changes, like abdominal pain, changes in appetite, or fatigue, and communicate these to your doctor.

Remember, many conditions detected by imaging can be benign or easily managed. Your healthcare team will guide you based on the results, so maintaining an open line of communication is crucial. I’m here if you need further clarification or support.

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