US RESULTS need help to understand

What do my lab results mean?
1

Hi, I got my US test results today and it has the following description making me worried:
I am 42 year, male,

All the test results in the past are good including the very recent of one year ago. I consulted with my doctor who recommend not to take the medication for my case.

Does Coarse and heterogenous echotexture. means cirrhosis?

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Indication for Scan: HCC Screen: Hepatitis B.

Previous Scan: US: 01-Nov-2024

Quality: Suboptimal visibility.

FINDINGS:

LIVER:
Size: 13.4 cm. Coarse and heterogenous echotexture.
Steatosis: No.
Nodular Contour: No.
Hepatic Vein Nodularity: No.
Lobar Redistribution: No.

LIVER VASCULATURE:
Portal Vein Thrombus: No.
Portal Venous Flow: Patent, hepatopetal flow.
Patent Para-umbilical vein: No.
Hepatic veins: Patent, appropriate flow direction.

GB: No stones.

BILE DUCTS: Not dilated.
COMMON BILE DUCT: 0.6 cm, tapers to 0.2 cm.

SPLEEN: 11.2 cm. No discrete focal lesions.

Ascites: No.

OPINION:

Negative HCC screening.
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2

I am not an expert at all, just a fellow patient. It sounds like what I have too from my ultrasound result: “Coarse appearance of the liver parenchyma,” I was told not to worry as this is common among CHB patients. If you are worried maybe do a Fibro scan?

3

Hi @DZ6,

Welcome back to the forum and thanks for sharing your recent results. Generally coarseness means small scars scatter the sound waves unevenly. It’s a sign of past liver stress, not necessarily new damage. Your doctor will likely suggest another test, called a fibroscan, to assess exactly how much scarring the liver has as it could indicate low/limited fibrosis to severe fibrosis/cirrhosis.

Also, this scan may be affected by the “suboptimal visibility” mentioned in the report, so some caution has to be taken in interpreting this result too far.

Hope this helps,
Thomas

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