Please help!!!!!!!
Hi, I recently have an MRI and below is the result. My ultrasound 6 months ago didn't reveal any liver cyst. CT scan in 2019 didn't show any liver cyst. I 've known of the kidney cyst for several years since 2016. My GI and hepa doc don't seem concern. Could this be related to Hep B progressing? I've had lower level ALT/AST for several years and have been on Tenofovir for 2 1/2 year. HBSag down to 2110 from 3000. Last AFP 7.1 slightly higher . DCP and AFL3% negative.
Please help make sense out of this.
Thorax: Visualized thorax clear of significant pathology.
Liver: 8 mm T2 hyperintense, T1 hypointense, nonenhancing cyst and segment 7. No
enhancing mass. No biliary dilation..
Gallbladder: No stones or inflammation. Nondistended. This a linear T2 hypointense
structure extending along the anterior wall of the gallbladder from the neck to the
fundus, greatest in thickness at the fundus where it measures approximately 6-7 mm.
This is hyperintense on the Eovist sequences such as series 9, most conspicuous on
image 50.
Spleen: Unremarkable.
Pancreas: Unremarkable.
Adrenal Glands: Unremarkable.
Kidneys: No acute pathology. 1.9 cm simple cyst upper pole left kidney, enlarged from
prior..
Stomach: Unremarkable.
Bowel: No obstruction, inflammation, or mass.
Vasculature: No significant pathology.
Lymph Nodes: No pathologically enlarged or abnormal nodes.
Abdominal Wall: Normal.
Bones: No significant pathology.
Additional Significant Findings: None
IMPRESSION:
1. NO ACUTE ABDOMINAL PATHOLOGY. NO ENHANCING LIVER MASS.
2. BENIGN CYSTS IN THE RIGHT HEPATIC LOBE AND UPPER POLE OF THE LEFT
KIDNEY.
3. INDETERMINATE T2 HYPOINTENSE LINEAR STRUCTURE ALONG THE
ANTERIOR WALL OF THE GALLBLADDER FROM THE NECK TO THE FUNDUS,
GREATEST IN THICKNESS AT THE FUNDUS WHERE IT MEASURES 7 MM. THIS
COULD REPRESENT ARTIFACT FROM BILIARY EXCRETION OF EOVIST, OR
POSSIBLY SOME SORT OF VASCULAR STRUCTURE. LIKELY BENIGN OR
ARTIFACTUAL, BUT A FOLLOW-UP WITH A GALLBLADDER ULTRASOUND IS
RECOMMENDED WITH SPECIFIC ATTENTION TO THE ANTERIOR WALL OF THE
FUNDUS.