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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ultrasound Shows Enlarged Liver With No Focal Liver Lesions, Unremarkable Portions Of Pancreas, No Gallstones. Explain

Please explain my results and what if anything I may need to do. Thank you for your help. NarrativeEXAMINATION US LIVER/GALL BLADDER/PANCREAS CLINICAL HISTORY epigastric pain and nausea with eating FINDINGS The liver is enlarged measuring 17.6 cm in sagittal dimension. There is a normal echotexture and no focal liver lesions are identified. The gallbladder is distended with a smooth outline and contour and the wall is thin. There are no persistent intraluminal filling defects identified that would be consistent with gallstones or polypoid lesions at this time. No pericholecystic fluid. No biliary dilatation with the common duct measuring 0.47 cm. Visualized portions of the pancreas are normal size and echotexture. IMPRESSION Enlarged liver. No focal liver lesions. No gallstones or biliary dilatation. Unremarkable visualized portions of the pancreas.
Wed, 29 Jan 2014
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Gastroenterologist 's  Response
Hi
abdominal ultrasound shows an enlarged liver probably from fatty liver.
these findings can't explain your symptoms.
I need to know more of your medical data like biochemical exams, blood work, serological findings about viral hepatitis.
your symptoms may be related with
-gastritis
-Gerd
-stomach ulcer.
You can start to use ant acide and omeprazole and perform upper endoscopy.
Dr.Klerida
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Ultrasound Shows Enlarged Liver With No Focal Liver Lesions, Unremarkable Portions Of Pancreas, No Gallstones. Explain

Hi abdominal ultrasound shows an enlarged liver probably from fatty liver. these findings can t explain your symptoms. I need to know more of your medical data like biochemical exams, blood work, serological findings about viral hepatitis. your symptoms may be related with -gastritis -Gerd -stomach ulcer. You can start to use ant acide and omeprazole and perform upper endoscopy. Dr.Klerida