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CT scan results

Forums General Melanoma Community CT scan results

  • Post
    evieg
    Participant

      Can anyone please help and interpret what this means form the CT report…"Heterogeneity is suggested within the dome of the liver though no discrete mass is seen with certainty at this time"…. So there is possibly something there??  Another place on the report…"the liver demonstrates mild heterogeneity….this is especially true throughout the dome on images 5-8….no distinct lesion elsewhere is noted"

      Thoughts?

      Thank you in advance!!

       

    Viewing 2 reply threads
    • Replies
        aquamak
        Participant

          I have seen that term before in some of my past CT reports prior to melanoma.  Basically means not the same as the other areas of the liver.  In my case, nothing to do with melanoma but instead I have a "fatty liver"  which is common.  Hopefully that is the case for you.  Have they ordered an MRI?  This is the best imaging test for the liver.

            jbronicki
            Participant

              I hesitate to even provide comment on this because it is such a complicated imaging question.  They use "heterogenity" as one thing to look at when differentiating "possible masses" in the liver.  The normal population has a percentage of benign findings on their liver, like aquamak said that it's just an area that is different.  It can also be used to determine degree of fattiness or even some form of cirrhosis in some testing.  The most important thing is that they said no discrete mass could be seen at this time.  If you are interested in a very technical discussion on this, here is a good paper from a Radiologist at Washington U, but it's pretty technical and basically says different things can appear with the characteristics of heterogenity.

              http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727979/

               

              The conclusion of this paper states exactly what Aquamak said, get an MRI if need:  "If a lesion demonstrates imaging findings diagnostic of hemangioma or focal nodular hyperplasia (these are both benign masses), no further diagnostic evaluation of that lesion is needed. If the findings are suggestive but not diagnostic of a benign lesion, then further evaluation may include interval follow-up imaging, preferably MRI, or performance of a confirmatory imaging study (e.g., nuclear medicine or MRI with a hepatobiliary contrast agent). 

               

              Good luck, figuring this stuff out can be daunting.  I do all of the research for my husband who has melanoma.  He has scans next week.

               

              jbronicki
              Participant

                I hesitate to even provide comment on this because it is such a complicated imaging question.  They use "heterogenity" as one thing to look at when differentiating "possible masses" in the liver.  The normal population has a percentage of benign findings on their liver, like aquamak said that it's just an area that is different.  It can also be used to determine degree of fattiness or even some form of cirrhosis in some testing.  The most important thing is that they said no discrete mass could be seen at this time.  If you are interested in a very technical discussion on this, here is a good paper from a Radiologist at Washington U, but it's pretty technical and basically says different things can appear with the characteristics of heterogenity.

                http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727979/

                 

                The conclusion of this paper states exactly what Aquamak said, get an MRI if need:  "If a lesion demonstrates imaging findings diagnostic of hemangioma or focal nodular hyperplasia (these are both benign masses), no further diagnostic evaluation of that lesion is needed. If the findings are suggestive but not diagnostic of a benign lesion, then further evaluation may include interval follow-up imaging, preferably MRI, or performance of a confirmatory imaging study (e.g., nuclear medicine or MRI with a hepatobiliary contrast agent). 

                 

                Good luck, figuring this stuff out can be daunting.  I do all of the research for my husband who has melanoma.  He has scans next week.

                 

                evieg
                Participant

                  Jackie,

                  Thank you so much for responding! Wishing your husband only the best….

                  Evie

                   

                  evieg
                  Participant

                    Jackie,

                    Thank you so much for responding! Wishing your husband only the best….

                    Evie

                     

                    evieg
                    Participant

                      Jackie,

                      Thank you so much for responding! Wishing your husband only the best….

                      Evie

                       

                      jbronicki
                      Participant

                        I hesitate to even provide comment on this because it is such a complicated imaging question.  They use "heterogenity" as one thing to look at when differentiating "possible masses" in the liver.  The normal population has a percentage of benign findings on their liver, like aquamak said that it's just an area that is different.  It can also be used to determine degree of fattiness or even some form of cirrhosis in some testing.  The most important thing is that they said no discrete mass could be seen at this time.  If you are interested in a very technical discussion on this, here is a good paper from a Radiologist at Washington U, but it's pretty technical and basically says different things can appear with the characteristics of heterogenity.

                        http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2727979/

                         

                        The conclusion of this paper states exactly what Aquamak said, get an MRI if need:  "If a lesion demonstrates imaging findings diagnostic of hemangioma or focal nodular hyperplasia (these are both benign masses), no further diagnostic evaluation of that lesion is needed. If the findings are suggestive but not diagnostic of a benign lesion, then further evaluation may include interval follow-up imaging, preferably MRI, or performance of a confirmatory imaging study (e.g., nuclear medicine or MRI with a hepatobiliary contrast agent). 

                         

                        Good luck, figuring this stuff out can be daunting.  I do all of the research for my husband who has melanoma.  He has scans next week.

                         

                        evieg
                        Participant

                          Thank you… No MRI ordered at this time… I will discuss with the dr.

                          evieg
                          Participant

                            Thank you… No MRI ordered at this time… I will discuss with the dr.

                            evieg
                            Participant

                              Thank you… No MRI ordered at this time… I will discuss with the dr.

                            aquamak
                            Participant

                              I have seen that term before in some of my past CT reports prior to melanoma.  Basically means not the same as the other areas of the liver.  In my case, nothing to do with melanoma but instead I have a "fatty liver"  which is common.  Hopefully that is the case for you.  Have they ordered an MRI?  This is the best imaging test for the liver.

                              aquamak
                              Participant

                                I have seen that term before in some of my past CT reports prior to melanoma.  Basically means not the same as the other areas of the liver.  In my case, nothing to do with melanoma but instead I have a "fatty liver"  which is common.  Hopefully that is the case for you.  Have they ordered an MRI?  This is the best imaging test for the liver.

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