Mild Enlargement Of Liver, Focal Hepatic Lesions, Cortical Prominence In Mid Pole. Treatment ?

Posted on Wed, 20 Jul 2011

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 20 Jul 2011 Answered on

Sat, 26 May 2012 Last reviewed on

Question : got abdominal ultrasound with mild enlargement of the liver wihtout evidence of focal hepatic lesions. There is a cortical prominence measuring 3 cm in the mid pole of the left kidney normal variant vs mass lesions. pls. interpret causes and possible treatment

Answered by Dr. Kiran Kumar (7 hours later)

Hi,
Thanks for the query.

The liver enlargement in Ultrasound can be due to many cause. It says mild enlargement. This can be a normal variant and might not need any evaluation. Any infection, current or in recent past can lead to such mild enlargement. Be reassured about it. It will not need any treatment.

The concern is the cortical prominence in the mid pole of left kidney (3 cms).

Normal variant vs Mass Lesion. Well, there is concern of renal mass and your must get evaluated further to rule out real malignancy.

A contrast enhanced CT scan of the abdomen will be recommended to ascertain the exact nature of the renal lesion. Do consult your physician in this regards.

Hope this answers your query.
Please get back if you need any further information

Thanks and Regards
Dr Kiran

Above answer was peer-reviewed by : Dr. Radhika

Follow up: Dr. Kiran Kumar (14 hours later)

Hi Dr. thanks for the reply. My follow up question is what kind of possible malignancy? kidney failure or something?

Answered by Dr. Kiran Kumar (12 hours later)

Hi,
Thanks for the follow up.

The most common malignancy of Kidney is Renal Cell Carcinoma. It won't cause renal failure, but can spread in the body if not treated.

It not confirmed as yet on USG abdomen.

As such masses can be benign(non cancerous) also.

However, a contrast CT will be need to differentiate it from benign lesions.

Thanks and Regards
Dr Kiran

Above answer was peer-reviewed by : Dr. Radhika