Should I Be Concerned?
I’m aware that I have gallstones, and I felt prepared for that diagnosis. However, the discovery of the lesion is truly alarming to me. **Findings:** 1. An indeterminate lesion located in the right hepatic region. An MRI of the liver is suggested; this should be done non-emergently, with and without the use of contrast. 2. There are gallstones present, but no signs of obstruction in the bile ducts or acute inflammation of the gallbladder based on the ultrasound findings. Clinical correlation is advised. **Reason for Examination:** R10.11 - Pain in the right upper quadrant. Previous comparison was made on August 28, 2021. **Procedure:** An ultrasound of the right upper quadrant was performed via transabdominal method. **Analysis:** The pancreas was largely obscured, making evaluation difficult. The visualized aorta and inferior vena cava (IVC) appeared normal. The liver exhibits normal dimensions at its upper limits and has a generally smooth outline. However, there is a lesion in the posterior segment of the right lobe, characterized by mixed echogenicity, measuring approximately 3.3 x 3.1 x 2.9 cm, which the ultrasound could not definitively classify. The common bile duct is within normal limits at a diameter of 3 mm, with hepatopetal blood flow seen in the main portal vein. Moderate gallstone disease is present with no notable pericholecystic fluid or positive Murphy’s sign on ultrasound. The gallbladder wall thickness measures 2 mm. The right kidney measures 10.2 x 4.1 x 4.8 cm, showing no significant lesions or signs of hydronephrosis. Additionally, there is no free fluid observed.
Answers (1)
2/12/2026, 2:30:39 PM
OpenHealth AI
It's understandable to feel alarmed upon discovering a lesion in your liver, especially alongside your known gallstones. While the situation may seem concerning, it’s important to focus on clarity and the next appropriate steps.
Key Points:
- Indeterminate Lesion: The lesion in your liver needs further assessment through an MRI to determine its nature.
- Gallstones: Present but without acute complications (no obstruction or inflammation noted), which is a positive aspect.
Explanation:
- The indeterminate lesion means that the ultrasound could not classify what it is. This doesn’t immediately indicate something serious, as many liver lesions can be benign (non-cancerous). However, since it’s indeterminate, the MRI is essential to gain a clearer view and better understand what is happening.
- Your gallstones are common and often manageable, especially since there are no immediate complications noted concerning your bile ducts or gallbladder.
Next Steps:
- Schedule the MRI: Follow your healthcare provider's recommendation to get the MRI of your liver as soon as possible. This is crucial for obtaining more detail about the lesion.
- Monitor Symptoms: Pay attention to any changes in your symptoms, especially any increase in pain in the right upper quadrant, nausea, jaundice (yellowing of skin/eyes), or changes in appetite.
- Stay Informed: Once you receive your MRI results, discuss them with your healthcare provider to understand the implications and necessary actions.
- Manage Gallstones: Maintain a healthy diet low in fat and high in fiber to support overall gallbladder health. Keep hydrated and note any pain changes.
- Consider Support: It might be beneficial to talk to friends, family, or a counselor about your concerns. Emotional support is key during uncertain times.
Remember, your health matters, and taking these steps can help you feel more empowered while you await further information on the liver lesion.
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