懂肝部B超的麻烦帮忙看下,医生约到下个月,很着急知道结果,谢谢

q
qwert480
楼主 (北美华人网)
请问确定是早期肝硬化吗?其中296:263-274是什么意思啊,中度脂肪肝吗?谢谢
IMPRESSION:
1. Liver stiffness 1.54 m/sec, equivalent METAVIR F1.
2. 1.1 cm benign hepatic cyst, previously measuring 0.8 cm.
Vendor-neutral recommendations for liver stiffness values from the Update to the Society of Radiologists in Ultrasound Liver Elastography Consensus Statement 2020. Barr RG et al. Radiology 2020;296:263-274
Stiffness (m/sec) Prior METAVIR New Recommendation
< 1.3 F0 High probability of being normal < 1.7 F1 In the absence of other known clinical signs, rules out compensated advanced chronic liver disease 1.7 - 2.1 F2 Suggestive of compensated advanced chronic liver disease but need further test for confirmation > 2.1 F3 Rules in compensated advanced chronic liver disease > 2.4 F4 Suggestive of clinically significant portal hypertension

FINDINGS:
Liver: 12.6 cm in length. Parenchymal echogenicity is normal. Liver contour is smooth. 1.1 cm benign cyst is seen, previously measuring 0.8 cm. There is no solid lesion. Hepatopetal flow is identified in the main, right, and left portal veins.
Shear wave elastography: Median velocity is 1.54 m/sec.
Gallbladder and biliary tree: No gallstones are seen. There is no focal tenderness while scanning over the gallbladder. No gallbladder wall thickening or pericholecystic fluid. No intra or extrahepatic biliary ductal dilatation.
Pancreas: Visualized pancreas is unremarkable.
Spleen: Normal size without focal lesions.
Right Kidney: Normal size. Parenchymal echogenicity is within normal limits. There is no mass, stone, or hydronephrosis.
Left Kidney: Normal size. Parenchymal echogenicity is within normal limits. There is no mass, stone, or hydronephrosis.
Vessels: Visualized aorta is normal in caliber. Visualized IVC is patent.
Peritoneum: No free fluid.
m
minijing
那是个文献
u
umizumi
F1是一级纤维化,离肝硬化还早着呢。排除乙肝丙肝,就没啥大事。
q
qwert480
那是个文献
minijing 发表于 2021-05-18 22:47

还好还好,数字跟国内脂肪肝指标一样,明明报告里没有提到脂肪肝,也经不住自己瞎想,谢谢你
c
curehbv
回复 1楼qwert480的帖子
不用担心. 很多亚洲人有1cm 左右的crysis , 无碍.
q
qwert480
F1是一级纤维化,离肝硬化还早着呢。排除乙肝丙肝,就没啥大事。
umizumi 发表于 2021-05-18 22:49

太谢谢你啦!放心多了,安心等看医生。
q
qwert480
回复 1楼qwert480的帖子
不用担心. 很多亚洲人有1cm 左右的crysis , 无碍.
curehbv 发表于 2021-05-18 22:58

谢谢安慰。囊肿倒是一直知道有,有心里准备的。第一次测肝弹指标,被吓的不轻。
a
autum
这没啥担心的。帮你约到一个月以后更加说明没啥大问题
木牛流马
Follow一下
s
sunychen23
很多人有benign cysts, 那个0.8到1.1之间是多久,如果时间比较久都在ultrasound误差内吧,可以继续minitor, 大概率是没问题的
q
qwert480
这没啥担心的。帮你约到一个月以后更加说明没啥大问题
autum 发表于 2021-05-18 23:23

谢谢安慰
q
qwert480
很多人有benign cysts, 那个0.8到1.1之间是多久,如果时间比较久都在ultrasound误差内吧,可以继续minitor, 大概率是没问题的
sunychen23 发表于 2021-05-19 00:02

谢谢。16年0.7cm, 半年前0.8cm,这次1.1cm,这半年里长的有点快,看医生怎么说吧