Liver and Gallbladder issues

Digestive health
1

I am a 37 year old male, 5 foot 5 inches, 199 LBS. I do work out, and I try to eat healthy, but I have been having a lot of upper right stomach issues. So a few times I went into the ER room and in one they did an ultrasound, then on another day they did CT, and then another ultrasound. I am very concerned about the findings, in each setting something different was found, but between the two ultrasounds just 25 days apart, the ultrasounds (for me at least) seem very different. Also, I have not drank alcohol since December. I have an allergy to soy, wheat, and gluten, but not Celiac disease (it has been ruled out), so I have to avoid that as well. But, anyone have an idea as to why the changes here are so rapid and just days apart?  Or am I going crazy?

 

20 FEB 2018 (ultrasound)

 

·         liver: 15.03 cm liver cranio-caudal diameter. The liver size appears normal. A geographic hypoechoic area consistent with focal fatty sparing is visualized in the left lobe. The surface of the liver appears smooth. Normal flow is seen in the main portal vein.

 

·         gallbladder: The visualized portions of the gallbladder appear normal. No gallstones visualized. Negative sonographic Murphy?s sign.

 

·         biliary tree: The common bile duct measures 2.6 mm. The common bile duct appears normal.

 

concerning: ECHOGENIC LIVER, SEEN WITH FATTY INFILTRATION

 

25 feb 2018 (ct scan)

 

·         liver: diffuse fatty liver infiltation

 

·         prostate: gland is calcified

 

·         hernia: fat-containing left inguinal hernia

 

concerning: FATTY LIVER, HERNIA, CALCIFIED GLAND, DIVERTICULITUS

 

16 mar 2018 (ultrasound)

 

·         liver: mildly hyperechoic with non uniform echotexture, no mass in liver, bile ducts not dilated, duct is 3 mm, hepatopetal flow in portal vein and is 10 cm per second. Liver surface smooth

 

·         gallbladder: 40 mm in length and is mildly contracted, no stones, gallbladder is not tender to compression, no murphy's sign

 

·         pancreas: within normal limits

 

·         aorta: lower abdominal aorta is 15mm diameter, no ascites

 

·         kidney: kidney is normal 105 MM, no mass, no calculus or hydronephrosis

 

concerning: LIVER MILDLY HYPERECHOIC (possibly due to fatty change). LIVER SURFACE IS SMOOTH. NO BILE DUCT DILATION, GALLBLADDER RELATIVELY SMALL WITH NO STONES, NO MURPHY SIGN. PANCREAS NORMAL LIMITS, RIGHT KIDNEY IS NORMAL

 

 

2

Sorry you're going through this.  I'm not a doctor, so I can't diagnose what's going on with you.  You need to go see a gastroenterologist who will work with you to deal with what's going on medically.  You've already gone to the ER, but it's like going to a convenience store.  No one there is interested in the long term.  They just want to deal with the issue temporarily so that you're well enough to leave.