Possible Mass on Liver

[dtre30319]

Hello Everyone,
I had my CT scan done today and the results are listed below:

FINDINGS:
CT NECK:
The base of the brain is unremarkable. Minor paranasal sinus disease is visualized, no air-fluid levels. The carotid arteries and jugular veins are patent. The epiglottis, aryepiglottic folds and valleculae are normal. Shoddy subcentimeter lymph nodes, no significant adenopathy is seen. A prominent varix in the left supraclavicular station isnoted, stable from prior studies. No masses or fluid collections. The epiglottis, area epiglottic folds and vallecula are normal. The mastoid air cells and middle ear cavities are normal. The parotid and submandibular glands are normal. The thyroid gland is homogeneous.
Prominent subcentimeter level 5 lymph nodes bilaterally are seen. These lymph nodes are potentially reactive in nature and noted similar to previous studies.
No concerning lytic or blastic osseous lesions or acute compression deformities.
CT SCAN CHEST:
LUNGS, AIRWAY, AND PLEURA:
No dominant nodules, masses, or areas of airspace consolidation is visualized. No new nodules or new masses are seen. Stable scattered calcified granulomas are noted. Scarring or atelectasis in the left lower lobe and left lung base is visualized. The tracheobronchial tree centrally is normal. No bronchiectasis or endobronchial lesion. No pleural effusion or pleural mass.
CARDIOVASCULAR AND MEDIASTINUM:
No filling defects areseen in the pulmonary arteries to suggest pulmonary embolism. Heart is not enlarged. No pericardial effusion or mass detected. No aneurysm or other significant finding. Bilateral symmetric gynecomastia is seen. Stable soft tissue infiltration and skin thickening in the axilla. No new adenopathy or new masses are evident. Sebaceous cyst in the left axilla measuring just over a centimeter on axial slice 19 of series 6 is seen.
MUSCULOSKELETAL AND SOFT TISSUES:
No masses or acute fractures. No new lytic or blastic osseous lesions. No acute compression deformities are evident. Degenerative changes with mild scoliosis is again noted. No new lytic or blastic osseous lesions. No acute compression deformities are evident.
CT SCANS OF THE ABDOMEN AND PELVIS:
HEPATOBILIARY, SPLEEN, AND PANCREAS:
Irregularity of the liver is redemonstrated along with fatty infiltration. An indeterminant area of arterial enhancement within the right lobe of liver on axial slice 56 of series 6 is seen measuring less than a centimeter. Is seen. This may be vascular in nature but is not specifically seen on prior studies. No additional liver lesions are appreciated. No gallstones or biliary dilatation identified. No pancreatic masses or ductal dilatation is seen. The spleen is mildly enlarged but stable in appearance. Multiple collateral vessels are demonstrated.
GENITOURINARY:
Left adrenal adenoma is visualized measuring 2 cm is again noted. The right adrenal gland is normal. No solid renal masses, calculi, or hydronephrosis. No bladder masses or calculi. The prostate is minimally nodular, indenting on the bladder.
GASTROINTESTINAL:
No masses, obstruction, or inflammation. No bowel wall thickening or inflammation. Postoperative changes are demonstrated within the sigmoid colon. Mild constipation pattern is evident. No bowel wall thickening or inflammation. Enteric contrast reaches the right colon.
Mesentery, retroperitoneum, lymph nodes, and vessels:
No significant ascites. The aorta and IVC are intact. No aneurysms.
Soft tissue infiltration surrounding the inferior mesenteric artery is seen on axial slice 37. This area of soft tissue infiltration is similar to prior studies, no adenopathy is specifically seen. Infiltration at the root of the mesentery within the pelvis is noted. No adenopathy or masses are specifically seen. Prominent collateral vessels are seen. Small fat-containing umbilical hernia is noted. Postoperative changes are suggested in the region of the left groin.
No concerning lytic or blastic osseous lesions. Scattered stable bone islands are noted. Mild degenerative changes in the lower lumbar spine are noted.


IMPRESSION:
1. An arterial enhancing lesion may be vascular in the right lobe of the liver measuring less than a centimeter. However, this lesion is not specifically seen on prior studies. The lack of visualization may be technical in nature. If needed, this may be further assessed with MRI scans of the abdomen with Eovist.
2. Soft tissue infiltration surrounding the inferior mesenteric artery is stable from multiple prior studies. Attention to this area is requested on subsequent exams. Findings presumably postoperative. No specific findings of malignancy or metastatic disease. No new pulmonary nodules are evident. Posttreatment changes in the colon are noted.
3. Irregularity of the liver with fatty infiltration. Mild splenomegaly is present. Prominent collateral vessels are seen. The appearance stable from prior studies.
4. Shotty bilateral level 5 lymph nodes in the neck and axillary lymph nodes are presumably reactive.


I have an appointment with the oncologist tomorrow. However, if he says wait and see if the cyst turns into a mass on my liver, should I just seek a second opinion and see if I can get the cyst removed?

[dianetavegia]

What is your CEA?

[mypinkheaven]

I have an appointment with the oncologist tomorrow. However, if he says wait and see if the cyst turns into a mass on my liver, should I just seek a second opinion and see if I can get the cyst removed?

I've had a cyst on my liver that's been watched for 5 years. No need to have it removed.

[michelle c]

I would ask for an MRI as stated. I had a spot show on my liver on a CT scan that could not be determined what it was. I had an MRI and MRI confirmed it to be a cyst. Best wishes, hope it turns out to be nothing xx

[dtre30319]

I would ask for an MRI as stated. I had a spot show on my liver on a CT scan that could not be determined what it was. I had an MRI and MRI confirmed it to be a cyst. Best wishes, hope it turns out to be nothing xx

Hello Michelle,
Would you recommend getting a cyst removed?

[Deb m]

My husband has a cyst on his pancreas, and both kidneys and one in his liver that they followed for a little over five years. Our oncologist at MDA said not to worry about them. He said that many people have cysts all over and don't even know it. He said sometimes they will grow and cause problems, but that would be extremely rare he said. He also said that cysts don't turn into cancer. Of course I at first worried about these cysts anyway for quite a while till each scan kept coming back ok, then I started to relax.

Try not to worry about them,

Deb

[michelle c]

I would ask for an MRI as stated. I had a spot show on my liver on a CT scan that could not be determined what it was. I had an MRI and MRI confirmed it to be a cyst. Best wishes, hope it turns out to be nothing xx

Hello Michelle,
Would you recommend getting a cyst removed?

No, to be honest I have never really thought about it. When my doctor phoned to tell me that it was just a cyst that was it, no mention of getting it removed. I understand that they are generally harmless. However, I have heard of people having cysts removed from ovaries if they are getting too big or painful. My mother had a cyst removed from her ovary many years ago because it was the size of an orange and they were worried about it rupturing. But in most cases they are just left because no need to remove them. Certainly something to discuss with your doctor if you are concerned or just wanting clarification or reassurance. Best wishes.

[kandj]

My husband has a cyst in his liver that they have left alone. No changes to it through chemo and off chemo. No one ever mentioned removing it, even when they went in there and cut out a bunch of stuff. I would ask for the MRI though, that should help determine the vascular involvement and get a better structural look at it.

[dtre30319]

Hello Everyone,
I have an MRI scheduled for tonight. Went in to see the oncologist and he said he wanted me to do the MRI right away. Will post an update tomorrow when he calls with results.

[DarknessEmbraced]

I'm glad you're getting an MRI and hope it's good news!*hugs*

[dtre30319]

I'm glad you're getting an MRI and hope it's good news!*hugs*

Thank you for the kind words. Although I'm very nervous, I have taken comfort in the community along the way.

[DebZ]

My liver has many cysts (no one knows why and doesn't effect me at all), but from what I've been told cysts do not light up on CT with contrast scans. Unfortunately, I just had scan this week and something was lighting up but was very tiny. Report sounded like yours, stating could be blood supply related. We're going to scan again in two months instead of three to see if changes. It's all nerve racking but hang in there.

[LeonW]

I have a cyst in the liver too. Oncs & radiologists noticed it (and some other imperfections) from day one and all said not to worry about it. It's still there and, for me, it may sit there as long as it likes.

When my journey started and we did the usual initial freaking, DW suggested/decided to phone a cousin of hers who made it big in the medical world. His most important (and very valuable) advise was to find a medical coordinator who we would trust and ask his/her advise on anything we wanted/ needed to know/ caused worrying. Best advise we had, ever. It's a long time since and I still (occasionally) consult dr. Google but for background info only and I refuse to worry about anything found until having discussed it with my trusted expert. No Google consult can match the educated opinion of someone who spent 11+ years in university and a good part of the rest of his/her life studying cancer, and knows your details.

I've switched trusted coordinators a few times and am now with a brilliant (young) cancer surgeon who I can ask anything and who, I know for sure, will always deliver a straight answer. Less optimistic facts/opinions are sometimes introduced with the question if I / we really want to know (always do !). He's one of several who said that almost everyone develops cysts over time and - at my age - it is quite normal to have multiple. I trust him, and decided to live life without worrying about my big one that sits so noticeable right in the middle of my reborn liver. Am approaching yr-5 since diagnosis / yr-4 since liver resection and am only superficially anxious about next month's check-up, but refuse to let any worry about cysts dominate life.

My 2p - Cheers
L

[dtre30319]

I have a cyst in the liver too. Oncs & radiologists noticed it (and some other imperfections) from day one and all said not to worry about it. It's still there and, for me, it may sit there as long as it likes.

When my journey started and we did the usual initial freaking, DW suggested/decided to phone a cousin of hers who made it big in the medical world. His most important (and very valuable) advise was to find a medical coordinator who we would trust and ask his/hers advise on anything we wanted/ needed to know/ caused worrying. Best advise we had, ever. It's a long time since and I still (occasionally) consult dr. Google but for background info only and I refuse to worry about anything found until having discussed it with my trusted expert. No Google consult can match the educated opinion of someone who spent 11+ years in university and a good part of the rest of his/her life studying cancer, and knows your details.

I've switched trusted coordinators a few times and am now with a brilliant (young) cancer surgeon who I can ask anything and who, I know for sure, will always deliver a straight answer. Less optimistic facts/opinions are sometimes introduced with the question if I / we really want to know (always do !). He's one of several who said that almost everyone develops cysts over time and - at my age - it is quite normal to have multiple. I trust him, and decided to live life without worrying about my big one that sits so noticeable right in the middle of my reborn liver. Am approaching yr-5 since diagnosis / yr-4 since liver resection and are only superficially anxious about next month's check-up, but refuse to let any worry about cysts dominate life.

My 2p - Cheers
L

Hello Leon,
I just read your post and feel some relief. I got a message today from my liver specialist whom told me to just wait it out since its so small. Initially, I was freaking out because I've always read anytime something hits your liver after cancer, its not a good sign. Also, I beat the dragon slayer hep c 2 years ago and all the test I haven taken continuously say undetectable. Before I had the colon resection, my liver was normal. After the chemo, my liver has always been irregular on all of my scans.

[dtre30319]

Reason For Exam: Nonspecific abnormal findingson examination; abnormal CT, possible liver lesion
Visit Reason: Adenocarcinoma, colon;
COMPARISON:
CT scans of the abdomen dated 04/11/2017
TECHNIQUE:
The examination was performed on an advanced high-field MR imaging system. Initially,axial and coronal imaging of the abdomen was performed using T1-weighted, T2-weighted, and T2-weighted fat suppressed images as well as in-phase and out-of-phase imaging. Multiphase post-contrast T1-weighted imaging was subsequently performed in the transverse and coronal planes following intravenous administration of 9 cc he visit.
FINDINGS:
On the in and out of phase imaging, mild signal dropout in the liver is visualized suggesting mild steatosis. The liver is slightly heterogeneous on the diffusion and T2-weighted images. However, no discrete lesions are demonstrated on the exam. In particular, no suspicious lesions are seen to correspond to the area of abnormality in the right lobe of the liver on previous CT scans. No new liver lesions are seen.
Sludge in the gallbladder is visualized, no wall thickening or biliary ductal dilatation. No choledocholithiasis is visualized.
The spleen is not enlarged. No focal splenic lesions are seen. No pancreatic masses or ductal dilatation is seen.
Left adrenal adenoma which which demonstrates signal dropout on the out of phase imaging is seen measuring 2.5 x 1.8 cm. The right adrenal gland is normal. No solid renal lesions, hydronephrosis or hydroureter is demonstrated.
Prominent vessels adjacent to the spleen inferiorly medially is visualized. Findings possibly reflecting a splenorenal varix in the left side and noted be stable from prior studies. The major flow voids are intact. No adenopathy is visualized. Lung bases are clear. No pleural effusions. No masses or ascites.
IMPRESSION:
1. No findings of malignancy or metastatic disease in the liver. The area of nodular enhancement within the right lobe of the liver is vascular in nature. Suspicious liver lesions evident.
This report was generated using speech recognition software
Dictated by: Rajendra Vazirani on April 13, 2017 at 08:02
Electronically Signed by: Rajendra Vazirani on April 13, 2017 at 10:32
Referring M.D.: Atulkumar Patel on April 12, 2017 at 18:15


The last sentence on the findings is somewhat confusing, but I'm thinking its just an error.