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Question:

I have had pain in my right side starting slowly a year ago and increasing more in DISCOMFORT for a year. I had an ultra sound and my Dr. found a small lesion in my liver.

So I had a cat scan and still it is a liver lesion. I will be having an MRI soon. But my discomfort in my side, under the base of my ribs remains. (It feels like something stuffed under my ribs and it also feels like it expands or moves.

I have been feeling natious and sometimes sick to my stomach.

Could that be a problem of my liver? Can you actually feel your liver? Could a lesion cause that? Or does it sound like it could be something else? Please help.

Tammy

Answer:

Dear Tammy,

Cystic lesions of the liver are easily identified by ultrasonography.

Cystic lesions of the liver in the adult can be classified as developmental, neoplastic, inflammatory, or miscellaneous.

Although in some cases it is difficult to distinguish these entities with imaging criteria alone, certain cystic focal liver lesions have classic computed tomographic (CT) and magnetic resonance (MR) imaging features, which are important for the radiologist to understand and recognize.

Lesions with such features include simple (bile duct) cyst, autosomal dominant polycystic liver disease, biliary hamartoma, Caroli disease, undifferentiated (embryonal) sarcoma, biliary cystadenoma and cystadenocarcinoma, cystic subtypes of primary liver neoplasms, cystic metastases, pyogenic and amebic abscesses, intrahepatic hydatid cyst, extrapancreatic pseudocyst, and intrahepatic hematoma and biloma.

Tumors of the liver may be cystic or solid, benign or malignant.

Most are asymptomatic, with patients having normal liver function, and they are increasingly discovered incidentally during ultrasonography or computed tomography.

Although most tumors are benign and require no treatment, it is important for non-specialists to be able to identify lesions that require further investigation and thus avoid unnecessary biopsy.

Modern imaging combined with recent technical advances in liver surgery can now offer many patients safe and potentially curative resections for malignant, as well as benign, conditions affecting the liver.

Hepatic hemangioma are the most common benign liver lesions . In one study, 72 percent of people who were referred for liver lesions turned out to be hemangiomas. The prevlance of hemangiomas
range from 0.4 to 20 percent in the general population.

Any pain your liver may be causing would most likely be generic to you if you’re not familiar with where your liver is located to begin with. A damaged or diseased liver can produce pain


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