CT scan shows hepatic lesions typical of hepatic hemangiomata. Precautions?
Patient: Hi,I am a 43yo male and have just had a ct scan in which it showsi have  3 lesions, 1 right heptaic solid hypoechoic lesion measuring 3.3mm x 2.5mm and 2  hyperechoic lesions right lobe measuring 1.0 x.8mm and 1.9 x 1.6mm hypoechoic lesion with peripheral achogenic rim.Post contrast scans were performed, durind the portal venous phase. All thrre lesions show a similar appearance being hypodense with lobulated  peripheral infilling during the portal venous phase. All become isodense with liver on delayed phase scans. Appearance are typical of hepatic haemangiomata. I have now been advised to have another ct scan in a years time as well as a blood test in 6 weeks time. What are your thoughts on my precautions? My GP has advised me to stop drinking alcohol until my blood test is done to see if there are any improvements, I consume 8std drinks per week. Doctor: Hi,Thanks for writing in.Going by your report findings, lesions measuring 3.3 x 2.5 mm, 1.0 mm x 8 mm and 1.9 x 1.6 mm are very small. Also words hypoechoic and hyperechoic are terms used in ultrasound scan. Please re confirm size and words used in your report.Even if we take the findings of post contrast scan to hold good, you really need not worry about these lesions. Hemangiomata of size mentioned by you are always benign.A blood liver function test can be done and ultrasound scan can be done after 6 month intervals. If felt necessary (increase in size and number) then a CT scan can be done.Alcohol might be temporarily restricted to get proper blood test results. Please discuss you blood test results with your doctor.Hope this helps.