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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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4 Year Old With Altered Liver Parenchymal Echotexture With Mild IHBRD- Adverse LFT Correlation. What Does It Mean?

My daughter of 4 years age underwent ultrasound examination yesterday and identified with altered liver parenchymal echotexture with mild IHBRD-adverse LFT correlation and also the bood test results are observed with haemoglobin (10 gms%), PCV (32.2 VoL%), MCV (73.7 fL), polymorphs (63%), lymphocytes (25%), eosinophils (10%). What do all these mean? What kind of problem she is facing?
posted on Mon, 7 Jan 2013
Twitter Mon, 7 Jan 2013 Answered on
Twitter Mon, 7 Jan 2013 Last reviewed on
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General & Family Physician,  's  Response
thank you.you not mention why did you go for these investigation. if i consider the hematological test(low Hb & PCV,low MCV though MCH not known) then your baby is suffering from microcytic hypochromic anemia. the main causes are thalassemia,iron deficiency anemia,sideroblastic anemia & anemia of chronic disease.so it should be evaluated properly by physical exam. & some relevant inv.like iron profile & Hb electrophoresis.
Now,the altered liver parenchymal echotexture with mild IHBRD should be evaluated. this does not match with the hematological abnormality. LFT should be done & it should be correlated with the USG abnormality.you need opinion of both a hematologist & a hepatologist.
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4 Year Old With Altered Liver Parenchymal Echotexture With Mild IHBRD- Adverse LFT Correlation. What Does It Mean?

thank you.you not mention why did you go for these investigation. if i consider the hematological test(low Hb & PCV,low MCV though MCH not known) then your baby is suffering from microcytic hypochromic anemia. the main causes are thalassemia,iron deficiency anemia,sideroblastic anemia & anemia of chronic disease.so it should be evaluated properly by physical exam. & some relevant inv.like iron profile & Hb electrophoresis. Now,the altered liver parenchymal echotexture with mild IHBRD should be evaluated. this does not match with the hematological abnormality. LFT should be done & it should be correlated with the USG abnormality.you need opinion of both a hematologist & a hepatologist.