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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fever. Done CT Scan, Showed Enlarged Liver, Reduced Echotexture, Multiple Lymph Nodes, Fatty Liver. Related To Alcohol Or Smoking?

Hi my father is having fever for the past 16 days. Doctors have permormed many tests and now after CT scan they said enlarged liver with reduced perenchymal ecotexture and spleen (18cm)(hepatospenomegaly) with multiple lymphonodes and right suprarenal mass. They are now testing for TB.. Please suggest how serious is this? His monocytes came as 14. he also has fatty liver and use to drink alcohol occassionaly but he was addicted to cigarretes 2 years back.
Fri, 8 Nov 2013
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

There are many causes for hepatosplenomegaly with enlarged lymph nodes.
He needs contrast CT Scan of abdomen and it can exclude many conditions.
T.B lymphadenopathy has typical feature like necrosis and matting. For confirmation FNAC and blood investigations can be done.
Suprarenal mass evaluation needs clinical examination,biochemical assessment and CT guided FNAC.
Fatty liver is reversible stage and it is treated by diet, life style modification and medicines.
Treatment depends upon clinical findings and investigation reports.

Take Care
Dr.Indu Bhushan
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Fever. Done CT Scan, Showed Enlarged Liver, Reduced Echotexture, Multiple Lymph Nodes, Fatty Liver. Related To Alcohol Or Smoking?

Hello Thanks for writing to HCM There are many causes for hepatosplenomegaly with enlarged lymph nodes. He needs contrast CT Scan of abdomen and it can exclude many conditions. T.B lymphadenopathy has typical feature like necrosis and matting. For confirmation FNAC and blood investigations can be done. Suprarenal mass evaluation needs clinical examination,biochemical assessment and CT guided FNAC. Fatty liver is reversible stage and it is treated by diet, life style modification and medicines. Treatment depends upon clinical findings and investigation reports. Take Care Dr.Indu Bhushan