Treatment for hepatomegaly, nonspecific coarsened liver echotexture
Patient: These are the results on our son who is 6 yrs old. Could you help me understand. He has also had anzym test and it is normal. EXAM# TYPE/EXAM RESULT 0000 US/US Abdomen-Complete COMPLETE ABDOMINAL ULTRASOUND INDICATION: Hepatomegaly. COMPARISON: Abdominal ultrasound 06/04/2008. FINDINGS: Pancreas: Not well seen, but grossly negative. Liver: Heterogeneous echotexture. No focal mass. At the midclavicular line, sagittal liver length is enlarged, measuring 14.2 cm. Gallbladder: Negative. Gallbladder Wall = 1 mm, normal. Sonographic Murphy Sign: Negative Biliary System: No calculi seen nor abnormal dilatation. At the midclavicular line, the common hepatic duct diameter is 0.6 mm, normal. Right Kidney: Negative; no hydronephrosis or calculus is seen. Length = 7.8 cm, cortical thickness: 11 mm. Left Kidney: Negative; no hydronephrosis or calculus is seen. Length = 7.3 cm, cortical thickness: 11 mm. Spleen: Negative. Size 7.7 mm, normal Aorta: Unremarkable. Size 1.2 cm, normal Inferior Vena Cava: Visualized and unremarkable. No ascites. IMPRESSION: 1. Hepatomegaly. Nonspecific coarsened liver echotexture; however, no focal liver mass is seen. 2. Remainder of the exam is unremarkable. Doctor: HelloCoarse echotexture of liver may indicate liver parenchymal disease.Normally liver is homogeneous in echotexture.Liver is also enlarged in size.It may be due to many causes like hepatitis,fatty liver,metabolic disorder etc.You may need clinical correlation and few investigations.Investigations include routine hemogram,liver function test,random blood sugar,lipid profile,urine RE/ME.Further investigations like viral markers,liver biopsy can be done if needed.You may need to take few medicines after evaluation. Other findings are normal.Get well soon.Take CareDr.Indu Bhushan